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Individual

DICK J NEWELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
101 S. PRAIRIE, BLOOMFIELD, MO 63825
(573) 568-3838
Mailing address
2620 N WESTWOOD BLVD, POPLAR BLUFF, MO 63901-3396
(573) 727-2772

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R7434
MO

Other

Enumeration date
07/10/2006
Last updated
07/08/2007
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