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Individual

DR. NICHOLAS JAMES NOVAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
7405 RENNER RD, SHAWNEE, KS 66217-9414
(913) 588-1227
Mailing address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234
(757) 897-7961

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
0102207138
VA
207Y00000X
Otolaryngology Physician
Primary
05-51224
KS
208D00000X
General Practice Physician
0102207138
VA

Other

Enumeration date
04/14/2019
Last updated
06/20/2025
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