Individual
GREGORY NOGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
5121 E BROADWAY RD, MESA, AZ 85206-1308
(480) 832-5555
Mailing address
7901 E HOLMES AVE, MESA, AZ 85209-9124
(480) 510-4956
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
7527A
AZ
Other
Enumeration date
04/09/2007
Last updated
12/01/2008
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