MR. Matthew Cody Mcneely, IDC
NPI #1104105568 in Groton, Connecticut
Provider Information
- NPI Number
- 1104105568
- Entity Type
- Individual
- Name
- MR. Matthew Cody Mcneely, IDC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Military Health Care Provider - Independent Duty Corpsman
- Credential
- IDC
- Enumeration Date
- Aug 16, 2011
- Last Updated
- Aug 16, 2011
Practice Location
- Address
- 96 MICHIGAN DRIVE
- City
- Groton
- State
- Connecticut
- ZIP Code
- 06340
- Phone
- (870) 725-4115
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military Health Care Provider - Independent Duty Corpsman — Independent Duty Corpsman |
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