Individual
WILLIAM C NEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
945 WEST BRAODWAY, SUITE 202, JACKSON, WY 83001-7369
(307) 734-5999
(307) 734-0345
Mailing address
PO BOX 7369, JACKSON, WY 83002-7369
(307) 734-5999
(307) 734-0345
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
6102A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113621600
—
WY
01
—
P00165173
RAILROAD MEDICARE
WY
Enumeration date
01/30/2007
Last updated
06/21/2016
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