Healthcare Provider Details

I. General information

NPI: 1518127737
Provider Name (Legal Business Name): BARBARA J NEWMAN, DO, PLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2008
Last Update Date: 03/25/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4540 E BASELINE RD SUITE 114
MESA AZ
85206-4613
US

IV. Provider business mailing address

PO BOX 29675 DEPT 2099
PHOENIX AZ
85038-9675
US

V. Phone/Fax

Practice location:
  • Phone: 480-497-2229
  • Fax:
Mailing address:
  • Phone: 480-497-2229
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number3904
License Number StateAZ

VIII. Authorized Official

Name: DR. BARBARA J NEWMAN
Title or Position: PRESIDENT
Credential: D.O.
Phone: 480-497-2229