Provider Demographics
NPI:1790929354
Name:NEWTON, MARK RICHARD (MD)
Entity Type:Individual
Prefix:DR
First Name:MARK
Middle Name:RICHARD
Last Name:NEWTON
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2413 W RIDGEWAY AVE
Mailing Address - Street 2:
Mailing Address - City:WATERLOO
Mailing Address - State:IA
Mailing Address - Zip Code:50701-4306
Mailing Address - Country:US
Mailing Address - Phone:319-233-0340
Mailing Address - Fax:319-233-0666
Practice Address - Street 1:2413 W RIDGEWAY AVE
Practice Address - Street 2:
Practice Address - City:WATERLOO
Practice Address - State:IA
Practice Address - Zip Code:50701-4306
Practice Address - Country:US
Practice Address - Phone:319-233-0340
Practice Address - Fax:319-233-0666
Is Sole Proprietor?:No
Enumeration Date:2009-04-27
Last Update Date:2017-02-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IAMD-42699208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology