Individual
TRAVIS R. NEELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2050 S QUEEN ST, STE 100, YORK, PA 17403-4829
(717) 812-4240
(717) 848-5520
Mailing address
3421 CONCORD RD, YORK, PA 17402-9001
(717) 812-4240
(717) 848-5520
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD439573
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000486819
ANTHEM BCBS
—
01
—
001883146
MOUNTAIN STATE BCBS
—
05
—
102440921
—
PA
01
—
1883146
HIGHMARK BLUE SHIELD-WMG
PA
05
—
2548381
—
OH
01
—
30073061
AMERIHEALTH MERCY-WMG
PA
01
—
303397
UNISON-WMG
PA
05
—
3810005968
—
WV
01
—
414478
UPMC-WMG
PA
01
—
P009073
GATEWAY-WMG
PA
Enumeration date
08/02/2006
Last updated
03/07/2014
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