Individual
DR. ROBERT VINCENT NOUHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1925 W MOUNTAIN VIEW AVE, LONGMONT, CO 80501-3128
(303) 833-8880
(303) 682-8007
Mailing address
1925 W MOUNTAIN VIEW AVE, LONGMONT, CO 80501-3128
(303) 833-8880
(303) 682-8007
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DR.0038248
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11955562
—
CO
05
—
181942
—
OR
01
—
CB3544
RR MEDICARE GROUP NUMBER
OR
01
—
P00081344
RR MEDICARE PTAN NUMBER
OR
01
—
R0000WFBTV
MEDICARE GROUP PIN NUMBER
OR
Enumeration date
12/09/2005
Last updated
04/23/2020
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