Provider Demographics
NPI:1487857942
Name:NEICHOY, BO TANNER (MD)
Entity Type:Individual
Prefix:DR
First Name:BO
Middle Name:TANNER
Last Name:NEICHOY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1301 S COULTER ST
Mailing Address - Street 2:STE 413
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79106-1763
Mailing Address - Country:US
Mailing Address - Phone:806-677-7952
Mailing Address - Fax:806-353-6081
Practice Address - Street 1:1301 S COULTER ST
Practice Address - Street 2:STE 413
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79106-1763
Practice Address - Country:US
Practice Address - Phone:806-677-7952
Practice Address - Fax:806-353-6081
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-11
Last Update Date:2015-10-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXP2317208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery