Doctor Name: | DR. SAMUEL EMMMETT NEFF |
NPI Number: | 1285994137 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 55-16 |
Business Practice Address: | 1704 Colonial Pkwy Clovis, NM - 881013114 |
Business Phone Number: | 5757620770 |
Business Fax Number: | |
Mailing Address: | 1704 Colonial Parkway, CLOVIS |
State: | NM |
Postal Code: | 881013114 |
Phone Number: | 5757620770 |
Fax Number: | |
NPI Enumeration Date: | 05/25/2012 |
NPI Last Update Date: | 05/25/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 55-16 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |