Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 157712-1205 | UT |
N | 208600000X | Surgeon | 157712-1205 | UT |
Y | 2086X0206X | Surgical Oncologist | 1577121205 | UT |
NPI | 1124107792 |
---|---|
Provider Name | Robert Dirk Noyes |
First Address | Murray, UT 84107-6767 |
Second Address | Murray, UT 84107-6767 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/11/2006 |
Last Update Date | 04/12/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
942854057089 | (05) | UT |
D26485 | (02) | UT |