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NPI Code Detail

MEDICARE: PATRICK JAMES NOLAN M.D.

MEDICARE: PATRICK JAMES NOLAN M.D.
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
1208000000XPediatrics Physician60975AZ
2208M00000XHospitalist Physician60975AZ
3207R00000XInternal Medicine Physician60975AZ

General Provider Information

NPI Number : 1912361494
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICK JAMES NOLAN M.D.
Provider Business Mailing Address
First Line : 5555 W THUNDERBIRD RD
Second Line :
City : GLENDALE
State : AZ
Zip : 85306-4622
Country : US
Telephone Number : 602-865-2627
Fax Number :
Provider Business Practice Location Address
First Line : 5555 W THUNDERBIRD RD
Second Line :
City : GLENDALE
State : AZ
Zip : 85306-4622
Country : US
Telephone Number : 602-865-2627
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/11/2016
Last Update Date : 01/21/2026

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