Individual
DR. NOEL G DIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2006 SCENIC DR APT B, ALAMOGORDO, NM 88310-3800
(602) 904-3979
Mailing address
2006 SCENIC DR APT B, ALAMOGORDO, NM 88310-3800
(602) 904-3979
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
0432978
KS
207U00000X
Nuclear Medicine Physician
2001014978
MO
207U00000X
Nuclear Medicine Physician
MD2010-0781
NM
2085R0202X
Diagnostic Radiology Physician
0432978
KS
2085R0202X
Diagnostic Radiology Physician
2001014978
MO
2085R0202X
Diagnostic Radiology Physician
Primary
MD2010-0781
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200311650A
—
KS
01
—
205113
BCBS KS FOR MO LOCATION
—
05
—
205693203
—
MO
01
—
35022012
BCBC KANSAS CITY MO
MO
05
—
55752047
—
NM
01
—
P00154641
RR MEDICARE GROUP CK7871
—
Enumeration date
02/20/2006
Last updated
02/18/2014
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