DR. Jerry L Neely, OD

NPI #1073666889 in Fairborn, Ohio

Provider Information

NPI Number: 1073666889
Entity Type: Individual
Name: DR. Jerry L Neely, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Jan 18, 2007
Last Updated: Aug 2, 2011

Practice Location

Address: 1790 COMMERCE CENTER BLVD
City: Fairborn
State: Ohio
ZIP Code: 45324-6358
Phone: (937) 878-3941

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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