Individual
ROBERT L HOVANCSEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
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
01
—
059467000
REGENCE
WA
05
—
1089119
—
WA
01
—
480026783
RAILROAD MEDICARE NUMBER
WA
01
—
51866
L & I
WA
01
—
5321381
AETNA
WA
Enumeration date
08/12/2005
Last updated
11/17/2009
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