Provider Demographics
NPI:1265594899
Name:GUTHRIE, NEWTON TRUETT (DPH)
Entity type:Individual
Prefix:
First Name:NEWTON
Middle Name:TRUETT
Last Name:GUTHRIE
Suffix:
Gender:M
Credentials:DPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:732 N STADIUM DR
Mailing Address - Street 2:
Mailing Address - City:HOBART
Mailing Address - State:OK
Mailing Address - Zip Code:73651-2014
Mailing Address - Country:US
Mailing Address - Phone:580-726-2221
Mailing Address - Fax:580-726-3530
Practice Address - Street 1:100 W 4TH ST
Practice Address - Street 2:
Practice Address - City:HOBART
Practice Address - State:OK
Practice Address - Zip Code:73651-4010
Practice Address - Country:US
Practice Address - Phone:580-726-2221
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-13
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK8106183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK3705273OtherNABP