Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | CPO 1424 | CA |
N | 222Z00000X | Podiatrist | CPO 1424 | CA |
N | 224P00000X | Prosthetist | CPO 1424 | CA |
N | 225000000X | Orthotic Fitter | CPO 1424 | CA |
NPI | 1982820437 |
---|---|
Provider Name | Donald F Newton |
First Address | Santa Maria, CA 93454-4506 |
Second Address | Santa Maria, CA 93454-4506 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/04/2007 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
XC0024430 | (05) | CA |