Individual
NOOPUR GOYAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9850 W ST LUKES DR, NAMPA, ID 83687-7912
(208) 322-1680
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
M-17327
ID
390200000X
Student in an Organized Health Care Education/Training Program
—
UT
Other
Enumeration date
04/07/2016
Last updated
07/14/2023
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