Organization
GREGORY D. NOVAK, M.D. P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY DANIEL NOVAK M.D. (OWNER)
(928) 774-1693
Entity
Organization
Contact information
Practice address
1600 W UNIVERSITY AVE, SUITE 215, FLAGSTAFF, AZ 86001-3114
(928) 774-1693
(928) 774-3533
Mailing address
1600 W UNIVERSITY AVE, SUITE 215, FLAGSTAFF, AZ 86001-3114
(928) 774-1693
(928) 774-3533
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
41896
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
438736
—
AZ
Enumeration date
07/29/2009
Last updated
07/29/2009
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