Individual
STEVEN E. NEWBOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1530 E REPUBLIC RD, SPRINGFIELD, MO 65804-6530
(417) 269-1362
(417) 269-1372
Mailing address
PO BOX 802843, KANSAS CITY, MO 64180-2843
(417) 730-6430
(417) 269-7567
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R8G79
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202595914
—
MO
01
—
24997
BCMO
MO
Enumeration date
10/06/2006
Last updated
08/17/2021
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