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Individual

WIL CASPER NORVIEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C, MPAS

Contact information

Practice address
8 TOWN CENTER DR, BOWLING GREEN, MO 63334-2803
(573) 324-2241
(573) 324-2617
Mailing address
PO BOX 1239, HANNIBAL, MO 63401-1239
(573) 406-5888
(573) 248-5264

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2019002100
MO

Other

Enumeration date
01/21/2019
Last updated
01/21/2019
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