Individual
RANDALL C NEWTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2525 GLENN HENDREN DR, LIBERTY, MO 64068-9625
(816) 407-2038
(816) 792-7135
Mailing address
8000 W 110TH ST, STE 150, OVERLAND PARK, KS 66210-2382
(913) 599-6777
(913) 599-3955
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
2003013354
MO
2085R0202X
Diagnostic Radiology Physician
4258-320
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100642600A
—
KS
05
—
209177500
—
MO
01
—
32850012
BCBS
—
01
—
P00099813
RAILROAD MEDICARE
MO
Enumeration date
07/15/2006
Last updated
07/31/2025
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