Individual
DR. CODY D NOVACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
615 S NEW BALLAS RD, SAINT LOUIS, MO 63141-8221
(314) 251-6339
Mailing address
625 S NEW BALLAS RD STE 7020, SAINT LOUIS, MO 63141-8218
(314) 251-6486
(314) 251-4155
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2023008498
MO
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
2023008498
MO
Other
Enumeration date
06/19/2020
Last updated
05/31/2024
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