Roger D. Noland
Pediatric Adolescent Medicine
Roger D. Noland is a Canon City, Colorado based Pediatric center with medical specialization in
Pediatric Adolescent Medicine. Roger D. Noland is doing business as
Pediatric Associates Of Canon City.
It is located at
1335 Phay Ave, Suite A, Canon City, Colorado - 81212-2334. They can be contacted on phone at
719-269-1727 and fax number 719-269-1730.
NPI number (Unique professional ID) for Roger D. Noland is
1477608826 which was assigned by NPPES on 24 Jan, 2007 and it was last updated on 27 Jan, 2012.
Roger D. Noland specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Roger D. Noland basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | Roger D. Noland |
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| Other Name : | Pediatric Associates Of Canon City |
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Business Address:
Roger D. Noland address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1335 Phay Ave, Suite A
Canon City, CO, 81212-2334
United States |
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| Phone Number : | 719-269-1727 |
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| Fax Number : | 719-269-1730 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1477608826 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 24 Jan, 2007 |
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| Last Updated On : | 27 Jan, 2012 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Rogerdeane Noland |
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| Authorized Official Credential : | MBA, PE |
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| Official Title or Position : | OWNER |
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| Phone Number : | 719-269-1727 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Roger D. Noland are as mentioned. Primary taxonomy code for Roger D. Noland is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080A0000X | Pediatrics Adolescent Medicine | Yes | | |
Legacy Identifiers:
Other legacy medical identifiers of Roger D. Noland such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 05638655 | MEDICAID | CO | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1431 Woodlawn Ave
Canon City, CO, 81212-2332
United States |
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| Phone Number : | 719-269-1727 |
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| Fax Number : | 719-269-1730 |
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Business Location:
Patients can refer following map for directions to
Roger D. Noland practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.