Individual
DR. NOAH COLE WIARDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
4786 MCMURRY AVE UNIT 2A, FORT COLLINS, CO 80525-4499
(970) 204-4020
(970) 658-5830
Mailing address
4786 MCMURRY AVE UNIT 2A, FORT COLLINS, CO 80525-4499
(970) 204-4020
(970) 658-5830
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2681
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
45836868
—
CO
Enumeration date
12/18/2008
Last updated
05/04/2023
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