Individual
BRENDA L NEWBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2800 PIERCE ST, SUITE 101, SIOUX CITY, IA 51104-3755
(712) 224-8678
(712) 277-1662
Mailing address
2800 PIERCE ST, SUITE 101, SIOUX CITY, IA 51104-3755
(712) 224-8678
(712) 277-1662
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001275
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00857993
MEDICARE RR
IA
Enumeration date
04/11/2006
Last updated
12/06/2010
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