Individual
DR. NOELLE BAROODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, DOM
Contact information
Practice address
1423 E ROOSEVELT AVE, GRANTS, NM 87020
(505) 287-6500
(505) 287-5393
Mailing address
1423 E ROOSEVELT AVE, GRANTS, NM 87020-2245
(505) 287-6500
(505) 287-5393
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
1140
NM
363AS0400X
Surgical Physician Assistant
Primary
PA2022-0139
NM
Other
Enumeration date
05/12/2014
Last updated
04/14/2025
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