Individual provider · Type 1 NPI
Michael John Noonan, PA-C
Medical Physician Assistant · Monte Vista, CO
NPI number
1598090888
Active
Practice location
95-A W. 1st Ave., Rio Grande Medical Center
Monte Vista, CO 81144
Mailing address
223 Stallo St
Monte Vista, CO 81144-1645
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PAL-2886 (CO) |
Medical Physician Assistant: Definition to come...
About NPI 1598090888
Michael John Noonan, PA-C's National Provider Identifier is 1598090888, issued on Oct 5, 2009. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Monte Vista, CO. The record was last updated on Oct 5, 2009.