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Individual

MARK S NOBLE

Active
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Individual

MARK S NOBLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Taxonomy

Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
0010-07847
NC
363A00000X
Physician Assistant
Primary
0010-07847
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001424100
FL
01
P01000790
RAILROAD MEDICARE
FL
01
P01028069
RAILROAD MEDICARE
FL
01
Y09JY
BCBS FL
FL
Enumeration date
05/05/2009
Last updated
09/13/2020
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