Individual
ELLEN A NORMAN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
30 E APPLE ST, SUITE 6252, DAYTON, OH 45409-2939
(937) 208-6060
(937) 208-6061
Mailing address
2736 COLDSPRINGS DR, BEAVERCREEK, OH 45434-6646
(937) 208-6060
(937) 208-6061
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
50-00-1172
OH
Other
Enumeration date
07/28/2005
Last updated
07/08/2007
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