Individual
ANDREW NOYCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3580 W 9000 S, WEST JORDAN, UT 84088-8812
(801) 561-8888
Mailing address
10378 S LIFFEY LN, SOUTH JORDAN, UT 84009-1423
(801) 793-8728
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11760833-1204
UT
208M00000X
Hospitalist Physician
11760833-1204
UT
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
125.071337
LICENSE
—
Enumeration date
06/27/2017
Last updated
09/22/2022
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