Organization
ROBERT L. HOVANCSEK, D.P.M. PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT LOUIS HOVANCSEK DPM (OWNER/PRESIDENT)
(360) 533-4344
Entity
Organization
Contact information
Practice address
2218 SIMPSON AVE, ABERDEEN, WA 98520-3514
(360) 533-4344
(360) 533-4755
Mailing address
2218 SIMPSON AVE, ABERDEEN, WA 98520-3514
(360) 533-4344
(360) 533-4755
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO00000531
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1089119
—
WA
01
—
51866
LABOR & INDUSTRIES
WA
01
—
H07445
REGENCE BLUE SHIELD
WA
Enumeration date
12/13/2007
Last updated
12/13/2007
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