Provider Demographics
NPI:1548428717
Name:NEWELL, LINDA CAROL (MD)
Entity Type:Individual
Prefix:DR
First Name:LINDA
Middle Name:CAROL
Last Name:NEWELL
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:4939 W RAY RD
Mailing Address - Street 2:#4232
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85226-2065
Mailing Address - Country:US
Mailing Address - Phone:480-782-1050
Mailing Address - Fax:480-782-1052
Practice Address - Street 1:6641 S KINGS RANCH RD
Practice Address - Street 2:5209
Practice Address - City:GOLD CANYON
Practice Address - State:AZ
Practice Address - Zip Code:85118-2924
Practice Address - Country:US
Practice Address - Phone:480-782-1050
Practice Address - Fax:480-782-1052
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-24
Last Update Date:2010-10-25
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Provider Licenses
StateLicense IDTaxonomies
AZ23988207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZG79592Medicare UPIN
AZZ24311Medicare PIN