Provider Demographics
NPI:1205889839
Name:PANTING, NORMAN (MD)
Entity type:Individual
Prefix:DR
First Name:NORMAN
Middle Name:
Last Name:PANTING
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3949 WALLACE RD
Mailing Address - Street 2:
Mailing Address - City:SANTA ROSA
Mailing Address - State:CA
Mailing Address - Zip Code:95404-1418
Mailing Address - Country:US
Mailing Address - Phone:707-539-5749
Mailing Address - Fax:707-538-9504
Practice Address - Street 1:3949 WALLACE RD
Practice Address - Street 2:
Practice Address - City:SANTA ROSA
Practice Address - State:CA
Practice Address - Zip Code:95404-1418
Practice Address - Country:US
Practice Address - Phone:707-539-5749
Practice Address - Fax:707-538-9504
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA14394207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease