Mr. Larry Odell Neely, IDC
Mr. Larry Odell Neely, IDC is a Military Health Care Provider in San Diego, California. Registered with an NPI since 2012.
- In the registry since
- 2012
Practice location Address checks out
34101 Farenholt Ave Bldg 14San Diego, CA 92134-5291
Phone: (619) 532-6195
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Military Health Care Provider (primary) | Taxonomy 171000000X |
|---|
Record details
| NPI number | 1568719821 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | IDC |
| Sole proprietor | No |
| NPI enumerated | August 6, 2012 |
| Last updated in NPPES | August 6, 2012 |
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