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Individual

NANCY E NOEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
500 MEDICAL DR, WENTZVILLE, MO 63385-3421
(636) 327-1000
Mailing address
PO BOX 790129, DEPT EC, SAINT LOUIS, MO 63179-0129
(800) 968-6866

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
102516
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
196690
BLUE CROSS BLUE SHIELD
Enumeration date
01/24/2006
Last updated
03/20/2008
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