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NPI Code Detail

MEDICARE: WILLIAM JARRED NEWMAN M.D.

MEDICARE: WILLIAM JARRED NEWMAN M.D.
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
12084P0800XPsychiatry Physician2015008264MO

General Provider Information

NPI Number : 1326063660
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM JARRED NEWMAN M.D.
Provider Business Mailing Address
First Line : 1438 S GRAND BLVD
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63104-1027
Country : US
Telephone Number : 314-977-4850
Fax Number : 314-977-4876
Provider Business Practice Location Address
First Line : 1438 S GRAND BLVD
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63104-1027
Country : US
Telephone Number : 314-977-4850
Fax Number : 314-977-4876
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2006
Last Update Date : 03/23/2021

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Directions to “ WILLIAM JARRED NEWMAN M.D.” Practice Location

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