Provider Demographics
NPI:1831330265
Name:NOYES, STACI RENEE (DC)
Entity type:Individual
Prefix:DR
First Name:STACI
Middle Name:RENEE
Last Name:NOYES
Suffix:
Gender:F
Credentials:DC
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Mailing Address - Street 1:3108 N BUTLER AVE
Mailing Address - Street 2:BLDG 300 STE B
Mailing Address - City:FARMINGTON
Mailing Address - State:NM
Mailing Address - Zip Code:87401
Mailing Address - Country:US
Mailing Address - Phone:505-327-9196
Mailing Address - Fax:505-327-9178
Practice Address - Street 1:3180 N BUTLER AVE
Practice Address - Street 2:BLDG 300 STE B
Practice Address - City:FARMINGTON
Practice Address - State:NM
Practice Address - Zip Code:87401-2334
Practice Address - Country:US
Practice Address - Phone:505-327-9196
Practice Address - Fax:505-327-9178
Is Sole Proprietor?:No
Enumeration Date:2009-03-15
Last Update Date:2013-08-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NM1743111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor