Provider Demographics
NPI:1124024351
Name:NOBLE, ROBERT IAN (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:IAN
Last Name:NOBLE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:832 S MONTANA ST
Mailing Address - Street 2:
Mailing Address - City:BUTTE
Mailing Address - State:MT
Mailing Address - Zip Code:59701-2836
Mailing Address - Country:US
Mailing Address - Phone:406-723-4004
Mailing Address - Fax:
Practice Address - Street 1:832 S MONTANA ST
Practice Address - Street 2:
Practice Address - City:BUTTE
Practice Address - State:MT
Practice Address - Zip Code:59701-2836
Practice Address - Country:US
Practice Address - Phone:406-723-4004
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-22
Last Update Date:2010-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT4391207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT05560OtherBLUE CROSS/BLUE SHIELD
MT2-9588Medicaid
MT556OtherPIN
D20485Medicare UPIN
MT2-9588Medicaid