Individual
TIMOTHY J NORRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1646 ELDRIDGE AVE, TWIN FALLS, ID 83301-7817
(208) 734-7362
(208) 733-9463
Mailing address
1646 ELDRIDGE AVE, TWIN FALLS, ID 83301-7817
(208) 734-7362
(208) 733-9463
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
M5350
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000116300
—
ID
Enumeration date
06/09/2006
Last updated
12/06/2011
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