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Individual

RONALD A NOVAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1501 SAN PEDRO DR SE, NMVAHCS (128), ALBUQUERQUE, NM 87108-5153
(505) 265-1711
(505) 256-5704
Mailing address
7613 GUADALUPE TRL NW, ALBUQUERQUE, NM 87107-6503

Taxonomy

Speciality
Code
Description
License number
State
2081P0004X
Spinal Cord Injury Medicine Physician
Primary
A52308
CA

Other

Enumeration date
07/21/2006
Last updated
07/08/2007
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