Individual
NOSHIR E DEBOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
140 WEST MAIN STREET, SUITE 100, SPRINGFIELD, OH 45502
(937) 398-1066
(937) 398-1076
Mailing address
140 W MAIN ST, SPRINGFIELD, OH 45502-1312
(937) 398-1066
(937) 398-1076
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
38443
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000006848
ANTHEM
OH
05
—
0302256
—
OH
01
—
0920049
UNITED HEALTH CARE
OH
Enumeration date
01/24/2008
Last updated
10/22/2014
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