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Individual
NOAH ANDREW EMERSON
Active
Individual
NOAH ANDREW EMERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
DO000105
LA
2085R0202X
Diagnostic Radiology Physician
036111688
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01821396
—
MS
05
—
036111688
—
IL
05
—
1012441
—
LA
01
—
1635332
BLUE CROSS
IL
Enumeration date
12/08/2006
Last updated
01/11/2012
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