Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0131X | Foot Surgery | 981 | MD |
NPI | 1306842778 |
---|---|
Provider Name | Dr. Richard J Noble |
First Address | Baltimore, MD 21234-9205 |
Second Address | Baltimore, MD 21234-9205 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/06/2005 |
Last Update Date | 13/02/2008 |