Individual
JOHN DONALD NOONAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
751 S BASCOM AVE, DIAGNOSTIC IMAGING DEPT, SAN JOSE, CA 95128
(408) 885-6370
Mailing address
19651 GLEN UNA DR, SARATOGA, CA 95070
(408) 354-5968
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G24811
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G248110
—
CA
Enumeration date
10/03/2006
Last updated
07/09/2007
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