Individual
DR. HEESUCK MICHAEL NOH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
645 N ARLINGTON AVE, SUITE 250A, RENO, NV 89503-4505
(775) 329-7707
(775) 329-7767
Mailing address
PO BOX 21568, DEPT 284, TULSA, OK 74121-1568
(800) 915-3089
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
9528
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2016588
—
NV
Enumeration date
09/27/2006
Last updated
02/02/2014
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