Healthcare Provider Details

I. General information

NPI: 1396658670
Provider Name (Legal Business Name): NOAH CLAYTON HULL PH.D., MPH, SC.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/25/2026
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6403 PRAIRIE HILLS DR
CHEYENNE WY
82009-2689
US

IV. Provider business mailing address

6403 PRAIRIE HILLS DR
CHEYENNE WY
82009-2689
US

V. Phone/Fax

Practice location:
  • Phone: 307-631-7956
  • Fax:
Mailing address:
  • Phone: 307-631-7956
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246QL0900X
TaxonomyLaboratory Management Specialist/Technologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: