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Organization

P J NOSS CORPORATION

Active
Other names
PJ Noss LLC
Organization subpart
No

Provider details

NPI number
Authorized official
PHYLLIS J NOSS M.D. (OWNER)
(218) 310-8050
Entity
Organization

Contact information

Practice address
1924 DUNEDIN AVE, DULUTH, MN 55803-2400
(218) 312-3002
(218) 236-8933
Mailing address
1924 DUNEDIN AVE, DULUTH, MN 55803-2400
(218) 310-8050

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1114387529
BLUE CROSS BLUE SHIELD
05
1114387529
MN
Enumeration date
02/26/2016
Last updated
07/21/2022
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