Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | C400030 | CA |
NPI | 1184718280 |
---|---|
Provider Name | Marshall Edward Noel |
First Address | Fresno, CA 93710-8610 |
Second Address | Fresno, CA 93710-8610 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2006 |
Last Update Date | 11/06/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A37277 | (02) | CA |