Individual
DR. GREGG MCNEIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3100 TONGASS AVE, KETCHIKAN, AK 99901-5746
(907) 228-8140
(907) 228-8440
Mailing address
3100 TONGASS AVE, KETCHIKAN, AK 99901-5746
(907) 228-8140
(907) 228-8440
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4360
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4360
ALASKA STATE LICENSE
AK
05
—
MD1892
—
AK
Enumeration date
06/28/2007
Last updated
02/12/2010
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