Individual
DR. JONATHAN G. NORCROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1310 N CENTER ST, LONOKE, AR 72086-2011
(501) 676-5123
(501) 676-7475
Mailing address
PO BOX 810, LONOKE, AR 72086-0810
(501) 676-5123
(501) 676-7475
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E-4614
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05100013200
QUALCHOICE
AR
05
—
158051001
—
AR
01
—
7194721
AETNA
AR
Enumeration date
03/31/2006
Last updated
05/22/2008
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