Individual
CLYDE MAXWELL NORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
510 S HARRIS, HUNTSVILLE, AR 72740
(479) 738-1300
Mailing address
PO BOX 1048, HUNTSVILLE, AR 72740
(479) 738-1300
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1402
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5T315
BLUE CROSS
—
Enumeration date
10/18/2006
Last updated
07/08/2007
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