Individual
DR. NORMAN NOVELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
US HWY 491 NORTH, SHIPROCK, NM 87420
(505) 368-6001
(505) 368-7011
Mailing address
PO BOX 160, SHIPROCK, NM 87420-0160
(505) 368-6001
(505) 368-7011
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
040500
GA
207YP0228X
Pediatric Otolaryngology Physician
040500
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00669721E
—
GA
Enumeration date
11/09/2005
Last updated
03/07/2023
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