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Individual

ERIN NOVAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1815 N STOCKTON HILL RD, KINGMAN, AZ 86401-4667
(928) 753-9629
Mailing address
9097 W POST RD STE 100, LAS VEGAS, NV 89148-2417
(702) 430-5333

Taxonomy

Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
PA2273
NV
363A00000X
Physician Assistant
Primary
8940
AZ

Other

Enumeration date
02/28/2020
Last updated
03/11/2024
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