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Individual

NORBERTINA L BANSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
835 GLENROCK RD, STE 100A, NORFOLK, VA 23502-3767
(757) 252-3370
(757) 252-3225
Mailing address
835 GLENROCK RD, STE 100A, NORFOLK, VA 23502-3767
(757) 252-3370
(757) 252-3225

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0101234092
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7248237
VA
01
P00006705
RAILROAD MEDICARE
DC
Enumeration date
10/27/2005
Last updated
12/31/2013
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