Doctor Name: | MR. HOWARD GENE NORMAN |
NPI Number: | 1891792974 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DO |
License Number: | 32357 |
Business Practice Address: | 425 N Central Ave Avondale, AZ - 853231906 |
Business Phone Number: | 6239250361 |
Business Fax Number: | 6239323674 |
Mailing Address: | 425 N Central Ave, AVONDALE |
State: | AZ |
Postal Code: | 853231906 |
Phone Number: | 6239250361 |
Fax Number: | 6239323674 |
NPI Enumeration Date: | 07/05/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 32357 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MO |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |