Individual
JON K NEWSUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1701 S SHACKLEFORD, LITTLE ROCK, AR 72211
(501) 771-4693
(501) 771-4885
Mailing address
PO BOX 65978, CHARLOTTE, NC 28265
(501) 771-4693
(501) 771-4885
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
C4399
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103864001
—
AR
Enumeration date
04/13/2006
Last updated
08/24/2010
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