MICHAEL J NOONAN, PA-C, Medical MONTE VISTA, CO

Contact Information

MICHAEL J NOONAN, PA-C

95-A W. 1ST AVE.
RIO GRANDE MEDICAL CENTER
MONTE VISTA, CO 81144

Phone: 719-852-2512
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Medical	363AM0700X	97	Physician Assistant

Indicates primary specialty

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NPI Profile & details for MICHAEL J NOONAN · (Male)

NPI Number	`1598090888`
Status	Active
Credentials	PA-C (Physician Assistant-Certified)
Entity	Individual
Enumeration date	10/05/2009
Last updated	10/05/2009 - About 17 years ago
Sole proprietor ¹	No
Identifiers	CO License # PAL-2886
Hospital affiliation(s)	RIO GRANDE HOSPITAL - (Critical Access) 310 COUNTY RD 14 DEL NORTE, CO 81132 SAN LUIS VALLEY REGIONAL MEDICAL CENTER - (Acute Care) 106 BLANCA AVE ALAMOSA, CO 81101

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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MICHAEL J NOONAN, PA-C – NPI #1598090888Medical

Contact Information

Specialty

Medical

NPI Profile & details for MICHAEL J NOONAN · (Male)

Reviews for MICHAEL J NOONAN

MICHAEL J NOONAN, PA-C – NPI #1598090888
Medical