Individual provider · Type 1 NPI

Roland Irvin Neal, PHYSICIAN ASSISTANT

Medical Physician Assistant · St. Louis, MO

NPI number 1104884543 Active

Practice location

1 Jefferson Barracks Rd
St. Louis, MO 63125-4181

Mailing address

10212 Pannell Dr
St. Louis, MO 63136-5632

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1104884543

Roland Irvin Neal, PHYSICIAN ASSISTANT's National Provider Identifier is 1104884543, issued on May 3, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in St. Louis, MO. The record was last updated on Jul 13, 2026.