Individual
GREGORY DANIEL NOVAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1625 N CAMPBELL AVE, TUCSON, AZ 85719-4330
(520) 626-2219
(520) 626-2521
Mailing address
1625 N CAMPBELL AVE, TUCSON, AZ 85719-4330
(520) 626-2219
(520) 626-2521
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
41896
AZ
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
46598
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036655200
—
MN
05
—
438736
—
AZ
01
—
Z154190
MEDICARE PTAN
AZ
Enumeration date
01/03/2006
Last updated
05/08/2026
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