Individual
DR. BENNETTE EDWARD NORTON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
180 FORD ROAD, JOHN DAY, OR 97845
(541) 575-0404
(541) 575-1124
Mailing address
170 FORD RD, JOHN DAY, OR 97845-2009
(541) 575-1311
(541) 575-0650
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0101045290
VA
207Q00000X
Family Medicine Physician
MD 18994
TN
207Q00000X
Family Medicine Physician
Primary
MD151877
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5651468
—
VA
Enumeration date
05/24/2005
Last updated
12/18/2013
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