Individual
NORBERTO RESTITUTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2305 S 65 HWY, MARSHALL, MO 65340
(660) 831-3286
Mailing address
PO BOX 1547, SEDALIA, MO 65302-1547
(660) 826-5960
(660) 826-4852
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
102807
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19204020
BCBS
MO
Enumeration date
05/15/2006
Last updated
03/11/2008
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