Individual
DR. GARY A NEAVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2708 RIFE MEDICAL LANE, SUITE 130, ROGERS, AR 72758-1452
(479) 338-5555
(479) 338-5533
Mailing address
2708 RIFE MEDICAL LANE, SUITE 130, ROGERS, AR 72758-1452
(479) 338-5555
(479) 338-5533
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C-4960
AR
207Q00000X
Family Medicine Physician
C4960
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101153001
—
AR
05
—
1821046558
—
AR
Enumeration date
05/05/2006
Last updated
09/24/2011
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