Doctor Name: | DR. TRENTON LYLE NEAL |
NPI Number: | 1063754893 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DVM |
License Number: | 5626790-2801 |
Business Practice Address: | 308 W 7200 S Midvale, UT - 840471041 |
Business Phone Number: | 8018710600 |
Business Fax Number: | 8015661155 |
Mailing Address: | 308 W 7200 S, MIDVALE |
State: | UT |
Postal Code: | 840471041 |
Phone Number: | 8018710600 |
Fax Number: | 8015661155 |
NPI Enumeration Date: | 03/19/2013 |
NPI Last Update Date: | 03/19/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 284300000X |
License Number: | 5626790-2801 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | Special Hospital |
Taxonomy Specialization: | |
Taxonomy Definition: | A designation by the AHA of a hospital whose primary function of the institution is to provide diagnostic and treatment services for patients who have specified medical conditions, both surgical and nonsurgical. |