Individual
ANDREW NOVAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1920 N HIGLEY RD, GILBERT, AZ 85234-1623
(805) 436-6004
Mailing address
1920 N HIGLEY RD, GILBERT, AZ 85234-1623
(480) 543-6600
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4332
WI
363A00000X
Physician Assistant
6442
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124564000
—
AZ
Enumeration date
01/16/2017
Last updated
05/28/2024
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