Organization
NEWTON CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK THAYER (CLINIC ADMINSTRATOR)
(641) 792-2112
Entity
Organization
Contact information
Practice address
300 N 4TH AVE E, SUITE 200, NEWTON, IA 50208-3155
(641) 792-2112
(641) 792-8484
Mailing address
300 N 4TH AVE E, SUITE 200, NEWTON, IA 50208-3155
(641) 792-2112
(641) 792-8484
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
213E00000X
Podiatrist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0282186
—
IA
Enumeration date
06/24/2006
Last updated
06/13/2013
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