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Individual

MARK NEWMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
9150 JEWEL LAKE RD, SUITE B, ANCHORAGE, AK 99502-5381
(907) 248-8561
Mailing address
PO BOX 201006, ANCHORAGE, AK 99520-1006
(907) 561-9191
(907) 561-0097

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1658
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
MD16583
AK
Enumeration date
09/14/2006
Last updated
07/09/2007
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