Individual
DR. THOMAS NORUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
55176 LAUREL VLY, LA QUINTA, CA 92253-4662
(310) 339-1508
Mailing address
55176 LAUREL VLY, LA QUINTA, CA 92253-4662
(310) 339-1508
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
G27427
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013921360
—
CA
Enumeration date
07/29/2006
Last updated
07/21/2022
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