Individual
ANDREW ERIC NEWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 TRITON CIR, FORT DODGE, IA 50501-5730
(515) 574-1349
Mailing address
1 TRITON CIR, FORT DODGE, IA 50501-5730
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
000696
IA
Other
Enumeration date
01/12/2012
Last updated
05/15/2013
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