Individual
DR. ROBERT EDWIN NOLL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10535 HOSPITAL WAY, SURGICAL SERVICE (112/SMAT), MATHER, CA 95655-4200
(916) 843-9388
Mailing address
10535 HOSPITAL WAY, SURGICAL SERVICE (112/SMAT), MATHER, CA 95655-4200
(916) 843-9388
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
C54369
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04009361
—
MS
05
—
1077691
—
LA
Enumeration date
04/03/2007
Last updated
09/11/2025
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