Provider Demographics
NPI:1861843344
Name:NEITZEL, JAMES J (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:J
Last Name:NEITZEL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1 HOSPITAL DR
Mailing Address - Street 2:DEPARTMENT OF EMERGENCY MEDICINE
Mailing Address - City:COLUMBIA
Mailing Address - State:MO
Mailing Address - Zip Code:65212-1000
Mailing Address - Country:US
Mailing Address - Phone:573-884-3233
Mailing Address - Fax:573-884-5994
Practice Address - Street 1:1 HOSPITAL DR
Practice Address - Street 2:DEPARTMENT OF EMERGENCY MEDICINE
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65212-1000
Practice Address - Country:US
Practice Address - Phone:573-884-3233
Practice Address - Fax:573-884-5994
Is Sole Proprietor?:No
Enumeration Date:2016-06-27
Last Update Date:2021-03-31
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Provider Licenses
StateLicense IDTaxonomies
MO2016022157207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine