MEDICARE: DR. DAVID D NEWTON M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician		IL

General Provider Information

NPI Number	:	1306811666
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID D NEWTON M.D.

Provider Business Mailing Address
First Line	:	1 CENTRE DR
Second Line	:
City	:	PETERSBURG
State	:	IL
Zip	:	62675-9584
Country	:	US
Telephone Number	:	217-632-7761
Fax Number	:	217-632-0312

Provider Business Practice Location Address
First Line	:	1 CENTRE DR
Second Line	:
City	:	PETERSBURG
State	:	IL
Zip	:	62675-9584
Country	:	US
Telephone Number	:	217-632-7761
Fax Number	:	217-632-0312

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/21/2006
Last Update Date	:	07/08/2007

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Directions to “ DR. DAVID D NEWTON M.D.” Practice Location

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