Individual
MR. ROBERT F NOONAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
25 PROFESSIONAL PARK DR, CLARKSVILLE, AR 72830-4432
(479) 705-8181
(479) 705-0041
Mailing address
25 PROFESSIONAL PARK DR, CLARKSVILLE, AR 72830-4432
(479) 705-8181
(479) 705-0041
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E0762
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
129815001
—
AR
01
—
5K019
ARK BLUECROSS
AR
Enumeration date
03/29/2006
Last updated
05/03/2011
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