Organization
NEIL NATHAN MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NEIL JAY NATHAN MD (OWNER)
(417) 869-7583
Entity
Organization
Contact information
Practice address
2828 N NATIONAL AVE, SUITE D, SPRINGFIELD, MO 65803-4306
(417) 869-7583
(417) 869-7592
Mailing address
2828 N NATIONAL AVE, SUITE D, SPRINGFIELD, MO 65803-4306
(417) 869-7583
(417) 869-7592
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R5C40
MO
Other
Enumeration date
03/14/2007
Last updated
08/22/2020
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