Healthcare Provider Details

I. General information

NPI: 1265594899
Provider Name (Legal Business Name): NEWTON TRUETT GUTHRIE DPH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/13/2006
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 W 4TH ST
HOBART OK
73651-4010
US

IV. Provider business mailing address

732 N STADIUM DR
HOBART OK
73651-2014
US

V. Phone/Fax

Practice location:
  • Phone: 580-726-2221
  • Fax:
Mailing address:
  • Phone: 580-726-2221
  • Fax: 580-726-3530

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number8106
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: