Provider Demographics
NPI:1578573192
Name:MCNOBLE, DOROTHY JEANNETTE (MD)
Entity Type:Individual
Prefix:DR
First Name:DOROTHY
Middle Name:JEANNETTE
Last Name:MCNOBLE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:490 POST STREET
Mailing Address - Street 2:SUITE 1404
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94102-1305
Mailing Address - Country:US
Mailing Address - Phone:650-757-4894
Mailing Address - Fax:650-899-1511
Practice Address - Street 1:490 POST STREET
Practice Address - Street 2:DOROTHY J MCNOBLE , MD
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94102-1305
Practice Address - Country:US
Practice Address - Phone:650-757-4894
Practice Address - Fax:650-899-1511
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-08
Last Update Date:2013-07-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG70935208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G709350Medicaid
00G709350Medicare UPIN
F27319Medicare UPIN