Individual
DR. OLIVER THOMAS NEWCOMB IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
425 CLINIC DR, MOREHEAD, KY 40351-1077
(606) 784-7551
(606) 784-1184
Mailing address
425 CLINIC DR, MOREHEAD, KY 40351-1077
(606) 784-7551
(606) 784-1184
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
50749
KY
208800000X
Urology Physician
TP073
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100262020
—
KY
01
—
K247390
MEDICARE
KY
Enumeration date
03/19/2012
Last updated
10/18/2017
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