Individual
DR. ERIC N NOVACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2902 W AGUA FRIA FWY STE 1090, PHOENIX, AZ 85027-3970
(602) 648-5444
(602) 772-3801
Mailing address
PO BOX 80217, PHOENIX, AZ 85060-0217
(602) 385-2115
(480) 418-3323
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
29419
AZ
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
29419
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3Z3939
HEALTHNET
AZ
05
—
789232
—
AZ
Enumeration date
02/21/2006
Last updated
07/26/2022
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