Doctor Name: | DR. C DAVID NEECE |
NPI Number: | 1255364485 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | 27053 |
Business Practice Address: | 100 W 4th St Walsenburg, CO - 810891910 |
Business Phone Number: | 7197381164 |
Business Fax Number: | 7197383399 |
Mailing Address: | 100 W 4th St, WALSENBURG |
State: | CO |
Postal Code: | 810891910 |
Phone Number: | 7197381164 |
Fax Number: | 7197383399 |
NPI Enumeration Date: | 07/09/2006 |
NPI Last Update Date: | 11/08/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 27053 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |