Individual
TYLER NOVOTNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
320 HOSPITAL DR, MARTINSVILLE, VA 24112-1900
(276) 666-7394
(276) 666-7866
Mailing address
15059 N SCOTTSDALE RD, SUITE 600, SCOTTSDALE, AZ 85254-2379
(602) 778-3600
(602) 778-3602
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110-005627
VA
Other
Enumeration date
01/19/2017
Last updated
01/19/2017
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