Provider Demographics
NPI:1861838922
Name:MACNEALY, MARK A (DO, JD)
Entity type:Individual
Prefix:DR
First Name:MARK
Middle Name:A
Last Name:MACNEALY
Suffix:
Gender:M
Credentials:DO, JD
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Mailing Address - Street 1:9378 S MASON MONTGOMERY RD STE 102
Mailing Address - Street 2:
Mailing Address - City:MASON
Mailing Address - State:OH
Mailing Address - Zip Code:45040-8827
Mailing Address - Country:US
Mailing Address - Phone:937-809-9091
Mailing Address - Fax:402-279-8571
Practice Address - Street 1:8859 CINCINNATI DAYTON RD STE 102
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:OH
Practice Address - Zip Code:45069-3193
Practice Address - Country:US
Practice Address - Phone:513-880-8448
Practice Address - Fax:402-279-8571
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-16
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH34.0026172084N0400X, 2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology