Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | G88246 | CA |
Y | 208600000X | Surgeon | G88246 | CA |
NPI | 1013961366 |
---|---|
Provider Name | Robert Steven Norton |
First Address | Visalia, CA 93291-5138 |
Second Address | Visalia, CA 93291-5138 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/05/2006 |
Last Update Date | 21/07/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1068444 | (05) | WA |
E27432 | (02) | WA |
G88246 | MEDICAL LICENSE (01) | CA |