Individual
MATTHEW NOVACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
240 W FRONT ST, PORT ANGELES, WA 98362-2609
(360) 452-7891
(360) 452-8087
Mailing address
240 W FRONT ST, PORT ANGELES, WA 98362-2609
(360) 452-7891
(360) 452-8087
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD61105776
WA
208M00000X
Hospitalist Physician
MD61105776
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2104109
—
WA
Enumeration date
03/20/2018
Last updated
02/08/2024
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