Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 008510 | AZ |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | OP60739779 | WA |
NPI | 1093014136 |
---|---|
Provider Name | Dr. Adam Wayne Norwood |
First Address | Flagstaff, AZ 86001-3118 |
Second Address | Flagstaff, AZ 86001-3118 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/03/2011 |
Last Update Date | 24/09/2020 |