Provider Demographics
NPI:1164670345
Name:MCNEAL, JONATHAN EDWARD (DO)
Entity type:Individual
Prefix:DR
First Name:JONATHAN
Middle Name:EDWARD
Last Name:MCNEAL
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Gender:M
Credentials:DO
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Mailing Address - Street 1:1030 S JEFFERSON ST STE 106
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24016-4418
Mailing Address - Country:US
Mailing Address - Phone:540-343-4092
Mailing Address - Fax:540-343-5052
Practice Address - Street 1:1030 S JEFFERSON ST STE 106
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24016-4418
Practice Address - Country:US
Practice Address - Phone:540-343-4092
Practice Address - Fax:540-343-5052
Is Sole Proprietor?:No
Enumeration Date:2008-08-30
Last Update Date:2008-08-30
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Provider Licenses
StateLicense IDTaxonomies
VA0116019626207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery