Individual
DR. LETICEA MARIE NEWTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1328 S YORK ST, MUSKOGEE, OK 74403-7650
(918) 683-0470
(918) 683-0475
Mailing address
PO BOX 751, HULBERT, OK 74441-0751
(918) 772-3390
(918) 683-0475
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21371
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1121371
—
OK
01
—
21371
STATE LICENSE NUMBER
OK
Enumeration date
10/21/2005
Last updated
06/04/2019
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