Organization
NOEL SO M.D. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NOEL SO M.D. (PHYSICIAN)
(720) 417-2677
Entity
Organization
Contact information
Practice address
1601 E 19TH AVE, SUITE 4400, DENVER, CO 80218-1216
(720) 417-2677
(303) 399-1376
Mailing address
PO BOX 5264, DENVER, CO 80217-5264
(720) 417-2677
(303) 399-1376
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
52828
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1902127921
NPI
—
Enumeration date
03/24/2015
Last updated
03/24/2015
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