Provider Demographics
NPI:1033835756
Name:SPEGAL, NOAH MAXWELL (PA-C)
Entity Type:Individual
Prefix:
First Name:NOAH
Middle Name:MAXWELL
Last Name:SPEGAL
Suffix:
Gender:M
Credentials:PA-C
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Other - Credentials:
Mailing Address - Street 1:6703 ELMERS CT
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43085-2976
Mailing Address - Country:US
Mailing Address - Phone:614-623-8683
Mailing Address - Fax:
Practice Address - Street 1:2441 OLD STRINGTOWN RD
Practice Address - Street 2:
Practice Address - City:GROVE CITY
Practice Address - State:OH
Practice Address - Zip Code:43123-3922
Practice Address - Country:US
Practice Address - Phone:614-317-9990
Practice Address - Fax:614-317-9905
Is Sole Proprietor?:No
Enumeration Date:2022-10-14
Last Update Date:2024-05-17
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant