Healthcare Provider Details

I. General information

NPI: 1700840295
Provider Name (Legal Business Name): NOEL E ARMSTRONG DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/13/2006
Last Update Date: 03/06/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1450 E VALLEY RD SUITE 201
BASALT CO
81621-8304
US

IV. Provider business mailing address

1450 E VALLEY RD SUITE 201
BASALT CO
81621-8304
US

V. Phone/Fax

Practice location:
  • Phone: 970-927-8611
  • Fax: 970-927-8633
Mailing address:
  • Phone: 970-927-8611
  • Fax: 970-927-8633

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number569
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: