Provider Demographics
NPI:1396862249
Name:NOYES, BRUCE P (PA-C)
Entity Type:Individual
Prefix:MR
First Name:BRUCE
Middle Name:P
Last Name:NOYES
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Gender:M
Credentials:PA-C
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Mailing Address - Street 1:689 W BEDFORD AVE
Mailing Address - Street 2:
Mailing Address - City:CLOVIS
Mailing Address - State:CA
Mailing Address - Zip Code:93611-6730
Mailing Address - Country:US
Mailing Address - Phone:559-675-5530
Mailing Address - Fax:559-675-5532
Practice Address - Street 1:1210 E ALMOND AVE
Practice Address - Street 2:
Practice Address - City:MADERA
Practice Address - State:CA
Practice Address - Zip Code:93637-5606
Practice Address - Country:US
Practice Address - Phone:559-675-5530
Practice Address - Fax:559-675-5532
Is Sole Proprietor?:No
Enumeration Date:2007-03-24
Last Update Date:2011-10-10
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Provider Licenses
StateLicense IDTaxonomies
CA18031363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant