Organization Name: | THE NOBLE GROUP A MEDICAL CORPORATION |
NPI Number: | 1336220557 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GHERI REYNOLDS (OFFICE MANAGER/COO) |
Mailing Address: | 394 E Yosemite Ave Merced |
State: | CA US |
Postal Code: | 953408218 |
Phone Number: | 2093833990 |
Fax Number: | 2093832082 |
NPI Enumeration Date: | 10/17/2006 |
NPI Last Update Date: | 07/22/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |