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NPI Code Detail

MEDICARE: DR. RONALD EDWARD NEWTH OD

MEDICARE: DR. RONALD EDWARD NEWTH OD
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
1152W00000XOptometrist0167AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1AZ0901210OTHERAZBCBS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1952405466
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RONALD EDWARD NEWTH OD
Provider Business Mailing Address
First Line : 1725 E. KAEL ST.
Second Line :
City : MESA
State : AZ
Zip : 85203-2161
Country : US
Telephone Number : 480-641-5555
Fax Number : 480-654-2020
Provider Business Practice Location Address
First Line : 6145 N 35TH AVE
Second Line :
City : PHOENIX
State : AZ
Zip : 85017-1940
Country : US
Telephone Number : 602-973-6567
Fax Number : 602-973-6569
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2006
Last Update Date : 03/07/2023

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