Doctor Name: | DR. DAVID L NEIGHBORS |
NPI Number: | 1811945264 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 036071499 |
Business Practice Address: | 9401 Holy Cross Ln Breese, IL - 622303510 |
Business Phone Number: | 6185267271 |
Business Fax Number: | 6185267313 |
Mailing Address: | 9401 Holy Cross Ln, BREESE |
State: | IL |
Postal Code: | 622303510 |
Phone Number: | 6185267271 |
Fax Number: | 6185267313 |
NPI Enumeration Date: | 05/05/2006 |
NPI Last Update Date: | 10/01/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207QA0505X |
License Number: | 036071499 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Family Medicine |
Taxonomy Specialization: | Adult Medicine |
Taxonomy Definition: |