Healthcare Provider Details

I. General information

NPI: 1962469874
Provider Name (Legal Business Name): ROBERT V NEWMAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/26/2006
Last Update Date: 01/15/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10261 N 92ND ST
SCOTTSDALE AZ
85258-4502
US

IV. Provider business mailing address

10261 N 92ND ST
SCOTTSDALE AZ
85258-4502
US

V. Phone/Fax

Practice location:
  • Phone: 480-443-4437
  • Fax: 480-443-4525
Mailing address:
  • Phone: 480-443-4437
  • Fax: 480-443-4525

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number13732
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: