Dr Shanna R Newbold M D INC

NPI #1104541572 in Banning, California

Provider Information

NPI Number: 1104541572
Entity Type: Organization
Organization Name: Dr Shanna R Newbold M D INC
Primary Specialty: General Practice
Enumeration Date: Oct 7, 2022
Last Updated: Mar 13, 2025

Practice Location

Address: 264 N HIGHLAND SPRINGS AVE STE A
City: Banning
State: California
ZIP Code: 92220-3082
Phone: (909) 556-7694

Authorized Official

Name: SHANNA NEWBOLD, MD
Title: OWNER
Phone: (909) 556-7694

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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