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Individual

ROBERT ANTHONY NORUM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6230 138 PLACE SW, EDMONDS, WA 98026-3241
(425) 742-5289
Mailing address
6230 138 PLACE SW, EDMONDS, WA 98026-3241
(425) 742-5289

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD00030747
WA
207R00000X
Internal Medicine Physician
MD00030747
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8152928
WA
Enumeration date
03/08/2006
Last updated
01/08/2008
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