Provider Demographics
NPI:1528022829
Name:BELNAP, NEWELL DON (PA-C)
Entity Type:Individual
Prefix:MR
First Name:NEWELL
Middle Name:DON
Last Name:BELNAP
Suffix:
Gender:M
Credentials:PA-C
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 3610
Mailing Address - Street 2:728 EAST WHITE MOUNTAIN BLVD
Mailing Address - City:PINETOP
Mailing Address - State:AZ
Mailing Address - Zip Code:85935
Mailing Address - Country:US
Mailing Address - Phone:928-367-3926
Mailing Address - Fax:928-367-4916
Practice Address - Street 1:728 E. WHITE MOUNTAIN BLVD
Practice Address - Street 2:SUITE B
Practice Address - City:PINETOP
Practice Address - State:AZ
Practice Address - Zip Code:85935
Practice Address - Country:US
Practice Address - Phone:928-367-3926
Practice Address - Fax:928-367-4916
Is Sole Proprietor?:No
Enumeration Date:2006-04-13
Last Update Date:2023-05-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZ2534363A00000X, 363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ640418Medicaid
AZ640418OtherAHCCCS