MEDICARE: DR. WILLIAM NEWLAND MD

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	11576	OK

General Provider Information

NPI Number	:	1649213299
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM NEWLAND MD

Provider Business Mailing Address
First Line	:	PO BOX 269032
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73126-9032
Country	:	US
Telephone Number	:	405-951-2985
Fax Number	:	405-951-2038

Provider Business Practice Location Address
First Line	:	201 S PARK LN
Second Line	:
City	:	ALTUS
State	:	OK
Zip	:	73521-5733
Country	:	US
Telephone Number	:	580-480-3300
Fax Number	:	580-480-3110

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

Provider Enumeration Date	:	06/13/2006
Last Update Date	:	07/09/2007

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Directions to “ DR. WILLIAM NEWLAND MD” Practice Location

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