Michael John Noonan, PA-C Valid NPI
Individual provider · Medical Physician Assistant · Monte Vista, CO
- NPI
- 1598090888
- Type
- Individual (Type 1)
- Primary specialty
- Medical Physician Assistant (Physician Assistant)
- Specialty group
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy code
- 363AM0700X
- License number
- PAL-2886 (CO)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2009-10-05
- Last updated
- 2009-10-05
Practice location
95-A W. 1st Ave., Rio Grande Medical Center
Monte Vista, CO 81144
(719) 852-2512