Individual
TRISTA MARIE NEWVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
12200 W 106TH ST STE 320, OVERLAND PARK, KS 66215-2305
(913) 348-4202
Mailing address
12200 W 106TH ST STE 320, OVERLAND PARK, KS 66215-2305
(913) 348-4202
(478) 749-9171
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0102206859
VA
207V00000X
Obstetrics & Gynecology Physician
OP60737835
WA
208D00000X
General Practice Physician
1092
NE
Other
Enumeration date
04/02/2012
Last updated
08/07/2022
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