Individual
TODD EVAN NOVICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4212 NORTH 16TH STREET, PHOENIX INDIAN MEDICAL CENTER, PHOENIX, AZ 85016-5319
(602) 263-1200
(602) 200-5383
Mailing address
PHOENIX INDIAN MEDICAL CTR, P.O. BOX 31001-0698, PASADENA, CA 91110-0698
(602) 263-1200
(602) 200-5383
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN126028
AZ
Other
Enumeration date
05/04/2012
Last updated
05/04/2012
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