Basic Information
Provider Information
NPI: 1720063704
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: NOCE
FirstName: NICHOLAS
MiddleName: JOSEPH
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2815 83RD AVE
Address2:  
City: GREELEY
State: CO
PostalCode: 806349009
CountryCode: US
TelephoneNumber: 2109162326
FaxNumber:  
Practice Location
Address1: 5890 W 13TH ST
Address2: SUITE 101
City: GREELEY
State: CO
PostalCode: 806344821
CountryCode: US
TelephoneNumber: 9703480020
FaxNumber:  
Other Information
ProviderEnumerationDate: 12/13/2005
LastUpdateDate: 05/14/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207X00000X026940LAY Allopathic & Osteopathic PhysiciansOrthopaedic Surgery 

No ID Information.


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