Individual
DUSTIN NORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5952 BLACKSTONE WAY, NINE MILE FALLS, WA 99026-4900
(509) 464-3627
Mailing address
PO BOX 808, CHEWELAH, WA 99109-0808
(509) 935-6001
(509) 935-4196
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA61223093
WA
Other
Enumeration date
08/24/2020
Last updated
03/07/2022
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