Provider Demographics
NPI:1154502862
Name:NEWMAN, BRUCE L (MD)
Entity Type:Individual
Prefix:DR
First Name:BRUCE
Middle Name:L
Last Name:NEWMAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:20819 N CAVE CREEK RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85024-4466
Mailing Address - Country:US
Mailing Address - Phone:602-788-8080
Mailing Address - Fax:602-788-7690
Practice Address - Street 1:20819 N CAVE CREEK RD
Practice Address - Street 2:SUITE 102
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85024-4466
Practice Address - Country:US
Practice Address - Phone:602-788-8080
Practice Address - Fax:602-788-7690
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-21
Last Update Date:2013-11-27
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Provider Licenses
StateLicense IDTaxonomies
AZ15994207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZAZ0325160OtherBLUE CROSS BLUE SHIELD AZ
AZMD15994Medicare PIN
AZA15388Medicare UPIN