Provider Demographics
NPI:1508824178
Name:NORCROSS, WILLIAM ARTHUR (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:ARTHUR
Last Name:NORCROSS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 232410
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92193-2410
Mailing Address - Country:US
Mailing Address - Phone:858-249-6748
Mailing Address - Fax:619-543-3183
Practice Address - Street 1:200 W ARBOR DR
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92103-9000
Practice Address - Country:US
Practice Address - Phone:619-543-6770
Practice Address - Fax:619-543-2353
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-03
Last Update Date:2017-03-21
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Provider Licenses
StateLicense IDTaxonomies
CAG30804207QG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAB51078Medicare UPIN