Provider Demographics
NPI:1144371238
Name:NEUMANN, DAVID LEE (D PM)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:LEE
Last Name:NEUMANN
Suffix:
Gender:M
Credentials:D PM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 757
Mailing Address - Street 2:
Mailing Address - City:LIBBY
Mailing Address - State:MT
Mailing Address - Zip Code:59923-0757
Mailing Address - Country:US
Mailing Address - Phone:406-293-6937
Mailing Address - Fax:406-293-2802
Practice Address - Street 1:604 CALIFORNIA AVE
Practice Address - Street 2:
Practice Address - City:LIBBY
Practice Address - State:MT
Practice Address - Zip Code:59923-1902
Practice Address - Country:US
Practice Address - Phone:406-293-6937
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT124213ES0103X
IDP-103213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery