Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 26809 | OK |
N | 208600000X | Surgeon | 26809 | OK |
Y | 2086S0122X | Plastic and Reconstructive Surgery | 26809 | OK |
NPI | 1053551234 |
---|---|
Provider Name | Scott A Newbrough |
First Address | Tulsa, OK 74104-5643 |
Second Address | Tulsa, OK 74104 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/02/2009 |
Last Update Date | 13/06/2018 |