NPI 1053476242 · live from the CMS NPI Registry
Mary C Neal, MD
Orthopaedic Surgery, Orthopaedic Surgery of the Spine in Jackson, WY. National Provider Identifier 1053476242, active.
NPI record
| NPI | 1053476242 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Orthopaedic Surgery, Orthopaedic Surgery of the Spine 207XS0117X |
| Practice location | 945 W Broadway, Jackson, WY 83001 |
| Practice phone | 307-734-5999 |
| Mailing address | Po Box 7369, Jackson, WY 83002 |
| Enumerated | December 27, 2006 |
| Last updated | September 26, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopaedic Surgery, Orthopaedic Surgery of the Spine primary | 207XS0117X | 6101A (WY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.