Healthcare Provider Details

I. General information

NPI: 1477499069
Provider Name (Legal Business Name): NOAH JOHN ALT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/27/2026
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2140 E BROADWAY RD
TEMPE AZ
85282-1751
US

IV. Provider business mailing address

1637 N MEADOWLARK PL
ORANGE CA
92867-4029
US

V. Phone/Fax

Practice location:
  • Phone: 480-858-9100
  • Fax:
Mailing address:
  • Phone: 949-357-7704
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: