# TOM R NORRIS M D A PROFESSIONAL CORP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205824638
- **Authorized official:** TOM RANDOLPH NORRIS MD (PRESIDENT)
- **Authorized official phone:** (415) 392-3225

## Contact information

- **Practice address:** 2351 CLAY ST, STE 510, SAN FRANCISCO, CA 94115-1931
- **Practice address phone:** (415) 392-3225
- **Practice address fax:** (415) 928-1035
- **Mailing address:** 2351 CLAY ST, STE 510, SAN FRANCISCO, CA 94115-1931
- **Mailing address phone:** (415) 392-3225
- **Mailing address fax:** (415) 928-1035

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | G215690 | CA | Yes |

## Other

- **Enumeration date:** 10/10/2005
- **Last updated:** 11/13/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | G21569 | LICENSE NUMER | CA |