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Individual

CAROL NEWMYER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1815 N STOCKTON HILL RD, KINGMAN, AZ 86401-4667
(928) 753-2888
(928) 753-9350
Mailing address
1815 N STOCKTON HILL RD, KINGMAN, AZ 86401-4667
(928) 753-2888
(928) 753-9350

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
18661
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
287723
AHCCCS ID NUMBER
AZ
01
AZ0261790
BC/BS
AZ
Enumeration date
04/27/2006
Last updated
09/08/2016
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