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NPI Code Detail

MEDICARE: NOAH SIERKS

MEDICARE: NOAH SIERKS
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1215771100
Entity Type Code : Individual
Provider Name (Legal Business Name) : NOAH SIERKS
Provider Business Mailing Address
First Line : 5301 E GRANT RD
Second Line :
City : TUCSON
State : AZ
Zip : 85712-2874
Country : US
Telephone Number : 520-324-5095
Fax Number :
Provider Business Practice Location Address
First Line : 5301 E GRANT RD
Second Line :
City : TUCSON
State : AZ
Zip : 85712-2874
Country : US
Telephone Number : 520-324-5095
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2024
Last Update Date : 03/27/2026

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1871593731 — DR. CHARLES A ATKINSON M.D.
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85712-2874
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1952369316 — JANET A BLANCHARD CNNP
Practice Location Address:
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85712-2874
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Directions to “ NOAH SIERKS ” Practice Location

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