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Individual

MARK ALFRED NOBLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT, DPT

Contact information

Practice address
17233 N HOLMES BLVD STE 1650, PHOENIX, AZ 85053-2031
(602) 547-1836
Mailing address
17233 N HOLMES BLVD STE 1650, PHOENIX, AZ 85053-2031
(602) 547-1836

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
LPT-31415
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
LPT-31415
ARIZONA STATE BOARD OF PHYSICAL THERAPY
AZ
Enumeration date
07/28/2020
Last updated
09/14/2020
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