Provider Demographics
NPI:1922294925
Name:NEWKIRK, ROBERT M (OD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:M
Last Name:NEWKIRK
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 110
Mailing Address - Street 2:
Mailing Address - City:DUPUYER
Mailing Address - State:MT
Mailing Address - Zip Code:59432-0110
Mailing Address - Country:US
Mailing Address - Phone:406-472-3388
Mailing Address - Fax:406-472-3295
Practice Address - Street 1:523 9TH ST S
Practice Address - Street 2:
Practice Address - City:GREAT FALLS
Practice Address - State:MT
Practice Address - Zip Code:59405-2113
Practice Address - Country:US
Practice Address - Phone:406-727-9160
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-24
Last Update Date:2007-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT764152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist