Provider Demographics
NPI:1528198801
Name:MAGILL, DAVID NOBLE (DIPL AC)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:NOBLE
Last Name:MAGILL
Suffix:
Gender:M
Credentials:DIPL AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3570 E 12TH AVE STE 307B
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80206-3434
Mailing Address - Country:US
Mailing Address - Phone:303-386-5376
Mailing Address - Fax:
Practice Address - Street 1:3570 E 12TH AVE STE 307B
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80206-3434
Practice Address - Country:US
Practice Address - Phone:303-386-5376
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-06
Last Update Date:2015-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COACU.0001910171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist