Search › New Mexico › 171W00000X
Shane Newsom, 390200000X
NPI 1578184990 · on the registry since 2020 · sole proprietor
Practice
- Address
- 12300 Modesto Ave Ne
Albuquerque, NM 87122 - Phone
- (505) 553-4835
Registry record
- Primary taxonomy
- 171W00000X
171W00000X
- Sex
- Male
- Record last updated
- 2020-04-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico