Organization
GARY S NOVATT MD
Active
Organization
GARY S NOVATT MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY S NOVATT MD (PRESIDENT)
(805) 963-3757
Entity
Organization
Contact information
Practice address
2320 BATH ST, SUITE 205, SANTA BARBARA, CA 93105-4339
(805) 569-1164
(805) 569-1094
Mailing address
PO BOX 50706, SANTA BARBARA, CA 93150-0706
(805) 963-3757
(805) 564-3332
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DH2094
RAILROAD MEDICARE
CA
Enumeration date
09/26/2007
Last updated
12/09/2016
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