Mark S Norris OD

NPI 1104827948 - Optometrist - 152W00000X

NPI Details
NPI 1104827948
Gender Male
Enumeration Date 08/02/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
2301 10TH AVE
LEAVENWORTH KS, 66048-4214, US
Phone (913) 682-2929
Fax (913) 682-2999
Business Location
2301 10TH AVE
LEAVENWORTH KS, 66048-4214, US
Phone (913) 682-2929
Fax (913) 682-2999
Toxanomy
Taxonomy Code 152W00000X
License State Kansas
License Number 1243-3
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According to our database, Dr. Mark S Norris OD NPI is 1104827948, taxonomy code is 152W00000X and license number is 1243-3, license state is located at Kansas. Mark S Norris OD physically located at 2301 10th Ave, Leavenworth KS, 66048-4214. NPI Number Mark S Norris OD has the Individual type.

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1104827948 NPI number is provided on an as is basis without warranty of any kind. 1104827948 is maintained by the National Plan & Provider Enumeration System. The contents of Mark S Norris OD are for informational purposes only.