Individual
MATTHEW ALLAN MCNEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
4701 MONTGOMERY BLVD NE, ALBUQUERQUE, NM 87109-1219
(505) 270-0876
Mailing address
104 TARGHETTA RD, CORRALES, NM 87048-6937
(505) 270-8760
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA-01489
NM
367500000X
Certified Registered Nurse Anesthetist
RN152361
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
650336
—
AZ
Enumeration date
05/24/2011
Last updated
02/01/2023
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