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Individual
WILLIAM EDWARD NOLLER
Active
Individual
WILLIAM EDWARD NOLLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101041328
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005613159
—
VA
01
—
080125347
RAILROAD MEDICARE
VA
01
—
0856408
CIGNA
VA
01
—
12673
SENTARA
VA
01
—
293612
MAMSI
VA
01
—
333716
ANTHEM BCBS OF VA
VA
01
—
4206388
AETNA LIFE
VA
01
—
79151
SOUTHERN HEALTH SERVICES
VA
Enumeration date
07/05/2006
Last updated
11/24/2009
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