Individual
JONATHAN FOX NOEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
505 W HOMER ST STE 102, SALEM, IN 47167-1698
(812) 883-1708
Mailing address
505 W HOMER ST STE 102, SALEM, IN 47167-1698
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
01046983A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200143300
—
IN
Enumeration date
08/11/2005
Last updated
08/04/2022
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