| Doctor Name: | DR. ROBERT EDWIN NOLL |
| NPI Number: | 1275654295 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | MD.200808 |
| Business Practice Address: | 10535 Hospital Way Surgical Service (112/smat) Mather, CA - 956554200 |
| Business Phone Number: | 9168439388 |
| Business Fax Number: | |
| Mailing Address: | 10535 Hospital Way, Surgical Service (112/smat) MATHER |
| State: | CA |
| Postal Code: | 956554200 |
| Phone Number: | 9168439388 |
| Fax Number: | |
| NPI Enumeration Date: | 04/03/2007 |
| NPI Last Update Date: | 10/30/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2086S0129X |
| License Number: | MD.200808 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Surgery |
| Taxonomy Specialization: | Vascular Surgery |
| Taxonomy Definition: | A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |