Individual
MR. WILTON J NORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
A.N.P.
Contact information
Practice address
614 NORTHTOWN, MOUNTAIN HOME, AR 72653-3105
(870) 425-3131
(870) 425-3136
Mailing address
614 NORTHTOWN, MOUNTAIN HOME, AR 72653-3105
(870) 425-3131
(870) 425-3136
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A01449ANP
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
140590758
—
AR
Enumeration date
02/22/2006
Last updated
11/18/2009
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