Individual
SAM NEWMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
320 OSUNA RD NE STE 4H, ALBUQUERQUE, NM 87107-5955
(505) 345-2778
(505) 345-2878
Mailing address
8205 SPAIN RD NE STE 106, ALBUQUERQUE, NM 87109-3155
(505) 445-0770
(505) 856-7946
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65220706
—
NM
Enumeration date
03/17/2011
Last updated
06/16/2016
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