Provider Demographics
NPI:1790816940
Name:NORCROSS, DAVID W (PHYSICIAN ASSISTANT)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:W
Last Name:NORCROSS
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Gender:M
Credentials:PHYSICIAN ASSISTANT
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Mailing Address - Street 1:BOX 1687
Mailing Address - Street 2:
Mailing Address - City:SEWARD
Mailing Address - State:AK
Mailing Address - Zip Code:99662
Mailing Address - Country:US
Mailing Address - Phone:907-224-8374
Mailing Address - Fax:907-224-8180
Practice Address - Street 1:SPRING CREEK CORRECTIONAL CENTER. BETTY CATO DRIVE
Practice Address - Street 2:MILE 5 NASH ROAD
Practice Address - City:SEWARD
Practice Address - State:AK
Practice Address - Zip Code:99664
Practice Address - Country:US
Practice Address - Phone:190-722-4837
Practice Address - Fax:190-722-4818
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-08
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
AKPA130363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical