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Contact Information

DIANE R NEWTON, MD
2035 SILVERCREEK LN
BOISE, ID83706-6112
 Phone: 208-368-0095
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Neuroradiology

2085N0700X
Indicates primary specialty

NPI Profile & details for DIANE R NEWTON · (Female)

NPI # 1689617797
Status Active
Credentials MD
Entity Individual
Enumeration date 06/14/2006
Last updated 02/15/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • ID License # M7278
  • ID Medicaid 804198300
  • LA Medicaid 1452114
  • MD Medicaid 223007100
  • OH Medicaid 2914252
  • SC Medicaid QM7278
  • Other 1689617797 TRICARE NORTH
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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