Individual
CALEB LEE MCNEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
DEWART BHC BRIDGEPORT, MCMWTC, BLDG 3005 S.R 108, BRIDGEPORT, CA 93517-9802
(760) 932-1616
Mailing address
DEWART BHC BRIDGEPORT, MCMWTC, BLDG 3005 S.R 108, BRIDGEPORT, CA 93517-9802
(607) 932-1616
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12156201-1206
UT
Other
Enumeration date
10/05/2017
Last updated
11/27/2023
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