Provider Demographics
NPI:1053407387
Name:NEWLIN, DONALD BRYANT (PHYSICIAN ASSISTANT)
Entity type:Individual
Prefix:MR
First Name:DONALD
Middle Name:BRYANT
Last Name:NEWLIN
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Gender:M
Credentials:PHYSICIAN ASSISTANT
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Mailing Address - Street 1:6820 48TH AVE E
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98443-2309
Mailing Address - Country:US
Mailing Address - Phone:203-809-5354
Mailing Address - Fax:253-968-0920
Practice Address - Street 1:MADIGAN ARMY MEDICAL CTR, 9040 JACKSON AVE
Practice Address - Street 2:ATTN: WENDY MCKINNEY 253-968-2252 CREDENTIALS OFFICE
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98431-1100
Practice Address - Country:US
Practice Address - Phone:253-968-2704
Practice Address - Fax:253-968-0920
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2024-07-09
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Provider Licenses
StateLicense IDTaxonomies
WAPA10004297363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical