Stanley Roy Norquist MD

NPI 1104028513 - Family Medicine - 207Q00000X

NPI Details
NPI 1104028513
Gender Male
Enumeration Date 06/05/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1035 11TH AVE
LONGVIEW WA, 98632-2505, US
Phone (360) 425-8510
Fax (360) 425-4667
Business Location
1112 KESSLER BLVD
LONGVIEW WA, 98632-2737, US
Phone (360) 414-5401
Fax (360) 425-4667
Toxanomy
Taxonomy Code 207Q00000X
License State Washington
License Number MD00004135
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According to our database, Dr. Stanley Roy Norquist MD NPI is 1104028513, taxonomy code is 207Q00000X and license number is MD00004135, license state is located at Washington. Stanley Roy Norquist MD physically located at 1035 11th Ave, Longview WA, 98632-2505. NPI Number Stanley Roy Norquist MD has the Individual type.

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1104028513 NPI number is provided on an as is basis without warranty of any kind. 1104028513 is maintained by the National Plan & Provider Enumeration System. The contents of Stanley Roy Norquist MD are for informational purposes only.