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Individual
DR. ROBERT ROSCOE NOONEY
Active
Individual
DR. ROBERT ROSCOE NOONEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OP00001277
WA
207QS0010X
Sports Medicine (Family Medicine) Physician
OPO00001277
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1083021
—
WA
01
—
262210405
TAX ID
WA
01
—
424713001
GROUP HEALTH
WA
01
—
48546
L&I WORKERS COMP
WA
01
—
7492
QUALMED
WA
01
—
NO1029
BLUE CROSS BLUE SHIELD
WA
Enumeration date
07/17/2006
Last updated
12/12/2024
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