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Organization

DAVID W. NOLLER, M.D. A MEDICAL CORPORATION

Active
Other names
A MEDICAL CORPORATION
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID WILLIAM NOLLER M.D. (PRESIDENT)
(408) 358-7505
Entity
Organization

Contact information

Practice address
2550 SAMARITAN DR, SUITE D, SAN JOSE, CA 95124-4104
(408) 358-7505
(408) 358-7521
Mailing address
2550 SAMARITAN DR, SUITE D, SAN JOSE, CA 95124-4104
(408) 358-7505
(408) 358-7521

Taxonomy

Speciality
Code
Description
License number
State
207VH0002X
Hospice and Palliative Medicine (Obstetrics & Gynecology) Physician
Primary
G39344
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G393440
CA
Enumeration date
05/08/2007
Last updated
12/16/2014
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