Individual
DAVID WILLIAM NEIDIG
Active
Individual
DAVID WILLIAM NEIDIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
35.082803
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000833091
ANTHEM BCBS
OH
01
—
11175638
CAQH
—
05
—
2277727
—
OH
01
—
H260810
MEDICARE PTAN
OH
01
—
P01253963
MEDICARE RAILROAD
OH
Enumeration date
08/31/2006
Last updated
10/29/2018
Update your record
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