Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0120X | Pediatric Surgery | 35338 | IA |
NPI | 1437254745 |
---|---|
Provider Name | Henry George S Noble |
First Address | Des Moines, IA 50305-4925 |
Second Address | Des Moines, IA 50314-3034 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/09/2006 |
Last Update Date | 09/06/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0420158 | (05) | IA |
106070 | HEALTH ALLIANCE (01) | IA |
186631 | COVENTRY (01) | IA |
36048 | WELLMARK (01) | IA |
C11016 | (02) | IA |
IA0143 | JOHN DEERE (01) | IA |