Individual
MICHAEL S. NEWBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191-6600
(702) 653-2830
Mailing address
4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191-6600
(702) 653-2830
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
01068285A
IN
2085R0202X
Diagnostic Radiology Physician
Primary
35.133178
OH
Other
Enumeration date
06/11/2008
Last updated
07/24/2019
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