Provider Demographics
NPI:1356564363
Name:NEWLON, BARBARA (DO)
Entity type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:
Last Name:NEWLON
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:655 REDWOOD HIGHWAY
Mailing Address - Street 2:SUITE 285
Mailing Address - City:MILL VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:94941-3011
Mailing Address - Country:US
Mailing Address - Phone:415-459-2522
Mailing Address - Fax:415-454-1456
Practice Address - Street 1:655 REDWOOD HIGHWAY
Practice Address - Street 2:SUITE 285
Practice Address - City:MILL VALLEY
Practice Address - State:CA
Practice Address - Zip Code:94941-3011
Practice Address - Country:US
Practice Address - Phone:415-459-2522
Practice Address - Fax:415-454-1456
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-10
Last Update Date:2024-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA20-4798207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAE08821Medicare UPIN