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NPI Code Detail

MEDICARE: PATRICIA G PADILLA-NOAH MD

MEDICARE:   PATRICIA G PADILLA-NOAH  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianG61445CA

General Provider Information

NPI Number : 1063584894
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICIA G PADILLA-NOAH MD
Provider Business Mailing Address
First Line : 120 STONY POINT RD STE 125
Second Line :
City : SANTA ROSA
State : CA
Zip : 95401-4161
Country : US
Telephone Number : 707-303-3600
Fax Number :
Provider Business Practice Location Address
First Line : 3569 ROUND BARN CIR
Second Line :
City : SANTA ROSA
State : CA
Zip : 95403-5781
Country : US
Telephone Number : 707-303-3600
Fax Number : 707-303-3635
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/15/2006
Last Update Date : 01/29/2025

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Directions to “ PATRICIA G PADILLA-NOAH MD” Practice Location

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