Organization
NOALL E WOLFF MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NOALL E WOLFF MD (PHYSICIAN)
(208) 847-2878
Entity
Organization
Contact information
Practice address
465 WASHINGTON ST, MONTPELIER, ID 83254-1544
(208) 847-2878
(208) 847-2340
Mailing address
465 WASHINGTON ST, MONTPELIER, ID 83254-1544
(208) 847-2878
(208) 847-2340
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M3599
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
807622700
—
ID
01
—
8L568
BLUE CROSS GROUP #
ID
Enumeration date
11/06/2006
Last updated
08/29/2011
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