Individual
EDWARD A NORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2000 BOISE AVE, LOVELAND, CO 80538-5006
(970) 203-6770
(970) 593-6055
Mailing address
1627 E 18TH ST, LOVELAND, CO 80538-4209
(970) 663-0135
(970) 461-1422
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
37823
CO
208M00000X
Hospitalist Physician
Primary
37823
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119067900
—
WY
05
—
52535878
—
CO
05
—
806786200
—
ID
01
—
NO633600
ANTHEM BCBS
CO
Enumeration date
11/22/2005
Last updated
03/13/2008
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