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NPI Code Detail

MEDICARE: MR. HARMON WADE NEWELL

MEDICARE: MR. HARMON WADE NEWELL
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
1363A00000XPhysician Assistant

General Provider Information

NPI Number : 1851175939
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. HARMON WADE NEWELL
Provider Business Mailing Address
First Line : 2908 NW TEMPLETON TER
Second Line :
City : LAWTON
State : OK
Zip : 73505-5230
Country : US
Telephone Number : 580-695-1688
Fax Number :
Provider Business Practice Location Address
First Line : 2621 N WHISENANT DR
Second Line :
City : DUNCAN
State : OK
Zip : 73533-0911
Country : US
Telephone Number : 580-252-5300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/21/2023
Last Update Date : 01/22/2026

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