# NEWBORN REGIONAL PROVIDERS PLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811073273
- **Authorized official:** DR. VICTOR F COLOSO MD (PRESIDENT)
- **Authorized official phone:** (479) 739-8043

## Contact information

- **Practice address:** 10608 INVERNESS ST, FORT SMITH, AR 72908-0703
- **Practice address phone:** (479) 739-8043
- **Mailing address:** PO BOX 11350, FORT SMITH, AR 72917-1350
- **Mailing address phone:** (479) 739-8043

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080N0001X | Neonatal-Perinatal Medicine Physician | — | NULL | Yes |
| 2080N0001X | Neonatal-Perinatal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/28/2006
- **Last updated:** 09/19/2024