Organization Name: | DAVID R. NEFF, DO, PLLC |
NPI Number: | 1174985303 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAVID ROBERT NEFF (PHYSICIAN OWNER) |
Mailing Address: | 5680 Marsh Rd Haslett |
State: | MI US |
Postal Code: | 488408987 |
Phone Number: | 5173395489 |
Fax Number: | 5174813765 |
NPI Enumeration Date: | 03/26/2016 |
NPI Last Update Date: | 03/26/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2300X |
License Number: | E7064V |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |