Individual
RUSSELL NEWKIRK III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8901 WISCONSIN AVE, BETHESDA, MD 20889-2423
(301) 295-4551
Mailing address
8901 WISCONSIN AVE, BETHESDA, MD 20889-0004
(301) 295-4551
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
208D00000X
General Practice Physician
Primary
0101273050
VA
Other
Enumeration date
01/11/2020
Last updated
08/18/2023
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