Organization · Type 2 NPI
Thomas H. Nolen, D.p.m., P.c.
Foot & Ankle Surgery Podiatrist · Mount Vernon, IL
NPI number
1790851665
Active
Practice location
1313 Main St
Mount Vernon, IL 62864-3720
Fax (618) 242-4171
Mailing address
624 W Main St
Salem, IL 62881-1403
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | 016-004182 (IL) |
Foot & Ankle Surgery Podiatrist: Definition to come...
About NPI 1790851665
Thomas H. Nolen, D.p.m., P.c.'s National Provider Identifier is 1790851665, issued on Nov 24, 2006. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Mount Vernon, IL. The record was last updated on May 15, 2008.