| NPI | 1871609743 |
|---|---|
| Doing Business As | NEWPORT DIAGNOSTIC MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | SHAWNA BAXTER Provider Enrollment 870-262-5545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2024-04-29 |