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Organization
TOM R NORRIS M D A PROFESSIONAL CORP
Active
Organization
TOM R NORRIS M D A PROFESSIONAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOM RANDOLPH NORRIS MD (PRESIDENT)
(415) 392-3225
Entity
Organization
Contact information
Practice address
2351 CLAY ST, STE 510, SAN FRANCISCO, CA 94115-1931
(415) 392-3225
(415) 928-1035
Mailing address
2351 CLAY ST, STE 510, SAN FRANCISCO, CA 94115-1931
(415) 392-3225
(415) 928-1035
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G215690
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G21569
LICENSE NUMER
CA
Enumeration date
10/10/2005
Last updated
11/13/2009
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