Individual
MR. DAMON LAMONT NEWTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9508 E 57TH ST, RAYTOWN, MO 64133-3205
(816) 352-8011
(816) 356-1383
Mailing address
9508 E 57TH ST, RAYTOWN, MO 64133-3205
(816) 352-8011
(816) 356-1383
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
U213206024
MO
Other
Enumeration date
03/26/2020
Last updated
03/26/2020
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