Organization
KEITH M NEWMAN, DPM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN R FERGUSON JR. (OFFICE MANAGER)
(304) 624-6821
Entity
Organization
Contact information
Practice address
700 W PIKE ST, SUITE 200, CLARKSBURG, WV 26301-2629
(304) 624-6821
(304) 624-6840
Mailing address
700 W PIKE ST, SUITE 200, CLARKSBURG, WV 26301-2629
(304) 624-6821
(304) 624-6840
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
00232
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0099501000
—
WV
Enumeration date
01/09/2008
Last updated
03/24/2010
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