Individual
RICKI PAUL NOLLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C, MSPAS, MPH
Contact information
Practice address
1800 SUTTER ST STE 100, CONCORD, CA 94520-2530
(925) 939-8585
Mailing address
PO BOX 31396, WALNUT CREEK, CA 94598-8396
(925) 939-8585
(925) 933-2709
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
21084
CA
Other
Enumeration date
08/13/2010
Last updated
11/14/2023
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