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Organization

HAVASU FOOT & ANKLE CENTER

Active
Other names
ROBERT H NOVACK, DPM
Organization subpart
No

Provider details

NPI number
Authorized official
ROBERT H NOVACK DPM (MEDICAL DIRECTOR)
(928) 855-7800
Entity
Organization

Contact information

Practice address
90 RIVIERA DR, LAKE HAVASU CITY, AZ 86403-5716
(928) 855-7800
(928) 855-5392
Mailing address
90 RIVIERA DR, LAKE HAVASU CITY, AZ 86403-5716
(928) 855-7800
(928) 855-5392

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0180
AZ

Other

Enumeration date
02/11/2008
Last updated
06/17/2008
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