# DAVID C. NORMAN MD INC

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

## Provider details

- **NPI number:** 1841475746
- **Authorized official:** MR. DAVID C NORMAN MD (MD/OWNER)
- **Authorized official phone:** (618) 257-2550

## Contact information

- **Practice address:** 3030 FRANK SCOTT PARKWAY WEST, SUITE 1, BELLEVILLE, IL 62223-5014
- **Practice address phone:** (618) 257-2550
- **Practice address fax:** (618) 257-2569
- **Mailing address:** 3030 FRANK SCOTT PARKWAY WEST, SUITE 1, BELLEVILLE, IL 62223-5014
- **Mailing address phone:** (618) 257-2550
- **Mailing address fax:** (618) 257-2569

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |
| 2080A0000X | Pediatric Adolescent Medicine Physician | — | NULL | Yes |
| 2080A0000X | Pediatric Adolescent Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/09/2008
- **Last updated:** 06/24/2024