Individual
MR. ROBERT BRUCE NEILL III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
218 OLD MOCKSVILLE RD, STATESVILLE, NC 28625-1930
(704) 873-0281
Mailing address
5224 OVERLOOK DR, CLAREMONT, NC 28610-9427
(828) 459-9394
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
051117
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8050515
—
NC
05
—
8050515/8000282
—
NC
Enumeration date
03/16/2006
Last updated
07/09/2007
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