Individual
DREW MICHAEL NEWBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
420 AVENUE F, BOGALUSA, LA 70427-3634
(985) 732-0058
Mailing address
420 AVENUE F, BOGALUSA, LA 70427-3634
(985) 732-0058
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
329202
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2019
Last updated
12/08/2021
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