Provider Demographics
NPI:1790901007
Name:NEWCOMB, JOSEPH RALPH (PA-C)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:RALPH
Last Name:NEWCOMB
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Gender:M
Credentials:PA-C
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Mailing Address - Street 1:NOAA AIRCRAFT OPERATIONS CENTER
Mailing Address - Street 2:3450 FLIGHTLINE DR
Mailing Address - City:LAKELAND
Mailing Address - State:FL
Mailing Address - Zip Code:33811
Mailing Address - Country:US
Mailing Address - Phone:910-977-0990
Mailing Address - Fax:
Practice Address - Street 1:NOAA AIRCRAFT OPERATIONS CENTER-AEROSPACE MEDICAL CENTE
Practice Address - Street 2:3450 FLIGHTLINE DR
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33811
Practice Address - Country:US
Practice Address - Phone:863-500-3991
Practice Address - Fax:863-500-3878
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-17
Last Update Date:2022-02-17
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Provider Licenses
StateLicense IDTaxonomies
AK672363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant