Individual
MISS JOANNE ALICE NOLEN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1650 COCHREN CIR, USA MED DAC (ORTHODEPDIC CLINIC), FT CARSON, CO 80913
(719) 526-7176
Mailing address
145 NORTH COYOTE TRAIL, PO BOX 117, ROCKVALE, CO 81244
(719) 784-9684
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
526
CO
Other
Enumeration date
04/28/2006
Last updated
07/08/2007
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