Individual
DAVID WILLIAM NEIDIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
667 EASTLAND AVE SE, WARREN, OH 44484-4503
(330) 286-5330
(330) 286-5396
Mailing address
4135 BOARDMAN CANFIELD RD, SUITE 101, CANFIELD, OH 44406-9803
(330) 286-5330
(330) 286-5396
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
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