Provider Demographics
NPI:1790836765
Name:NEEL, DANA (PA)
Entity Type:Individual
Prefix:
First Name:DANA
Middle Name:
Last Name:NEEL
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7780 S BROADWAY
Mailing Address - Street 2:STE 220
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80122-2633
Mailing Address - Country:US
Mailing Address - Phone:303-795-2345
Mailing Address - Fax:303-795-1003
Practice Address - Street 1:7780 S BROADWAY
Practice Address - Street 2:STE 220
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80122-2633
Practice Address - Country:US
Practice Address - Phone:303-795-2345
Practice Address - Fax:303-795-1003
Is Sole Proprietor?:No
Enumeration Date:2007-01-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
COPA1948208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics