Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | A124780 | CA |
Y | 207YS0123X | Facial Plastic Surgeon | A124780 | CA |
NPI | 1427219278 |
---|---|
Provider Name | Dr. David Douglass Nolen |
First Address | Sacramento, CA 95817-2207 |
Second Address | Sacramento, CA 95817-2207 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/06/2008 |
Last Update Date | 06/09/2013 |