Individual
MR. DOUGLAS P NORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
755 HOSPITAL WAY, SUITE A4, POCATELLO, ID 83201-2717
(208) 233-8770
(208) 233-2946
Mailing address
755 HOSPITAL WAY, SUITE A4, POCATELLO, ID 83201-2717
(208) 233-8770
(208) 233-2946
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
M3407
ID
Other
Enumeration date
06/27/2006
Last updated
07/08/2007
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