Individual
DR. DANIEL KP NOONAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
287 W JEFFERSON ST, BOISE, ID 83702-6045
(208) 322-1680
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2222
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
M-12094
ID
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
M-12094
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1942474853
—
ID
Enumeration date
04/22/2008
Last updated
01/16/2018
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