Individual
MR. MARK WAYNE NEWEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
628 4TH STREET, HEALDTON, OK 73438
(580) 229-2333
(580) 229-0924
Mailing address
PO BOX 905, HEALDTON, OK 73438-0905
(580) 229-2333
(580) 229-0924
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2185
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100095690B
—
OK
Enumeration date
05/20/2006
Last updated
07/21/2014
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