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Individual

STEVEN R NOVOTNY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1600 MEDICAL CENTER DRIVE, SUITE G500, HUNTINGTON, WV 25701-3656
(304) 691-1700
Mailing address
1600 MEDICAL CENTER DRIVE, SUITE G500, HUNTINGTON, WV 25701-3656
(304) 691-1700

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
23499
WV
207XS0106X
Orthopaedic Hand Surgery Physician
01045773A
IN
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
23499
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000193876
ANTHEM PROVIDER NUMBER
IN
01
10825677
CAQH NUMBER
IN
05
200119480
IN
05
2989057
OH
05
3810014348
WV
05
7100098070
KY
01
9397344
PHCS PID NUMBER
IN
Enumeration date
03/16/2006
Last updated
11/18/2021
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