Organization
THOMAS P NOWAK MD PHD INC
Active
Organization
THOMAS P NOWAK MD PHD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS P NOWAK MD (OWNER)
(858) 357-6953
Entity
Organization
Contact information
Practice address
515 S SIERRA AVE, #109, SOLANA BEACH, CA 92075-2245
(858) 357-6953
(858) 513-1838
Mailing address
PO BOX 827, SOLANA BEACH, CA 92075-0827
(858) 513-1833
(858) 513-1838
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
G59443
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G594430
—
CA
Enumeration date
02/15/2008
Last updated
02/15/2008
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