Individual
ALLEN NOBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
605 S COOLIDGE ST, MOSES LAKE, WA 98837-1893
(509) 765-0674
(509) 765-6591
Mailing address
605 S. COOLIDGE STREET, MOSES LAKE, WA 98837-1863
(509) 765-0674
(509) 765-6591
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA10005255
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0227809
L&I
WA
05
—
1669663597
—
WA
05
—
8497638
—
WA
Enumeration date
08/06/2007
Last updated
02/13/2025
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