Individual
DR. JOHN G NOLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2449 HOSPITAL DR STE 300, BOSSIER CITY, LA 71111-1910
(318) 212-3636
(318) 212-3649
Mailing address
2449 HOSPITAL DR, STE 300, BOSSIER CITY, LA 71111-1910
(318) 212-3636
(318) 212-3649
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
199995
LA
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
MD.199995
LA
208VP0014X
Interventional Pain Medicine Physician
MD.199995
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1626031
—
LA
Enumeration date
01/19/2006
Last updated
07/21/2022
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