Doctor Name: | JERROD NOBLE |
NPI Number: | 1063851525 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 7600 E Orchard Rd Suite 200n Greenwood Village, CO - 801112518 |
Business Phone Number: | 3033391499 |
Business Fax Number: | 3039624819 |
Mailing Address: | 7600 E Orchard Rd, Suite 200n GREENWOOD VILLAGE |
State: | CO |
Postal Code: | 801112518 |
Phone Number: | 3033391499 |
Fax Number: | 3039624819 |
NPI Enumeration Date: | 06/18/2013 |
NPI Last Update Date: | 06/18/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 246ZE0600X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Specialist/Technologist, Other |
Taxonomy Specialization: | Electroneurodiagnostic |
Taxonomy Definition: |