Individual
DR. KENDALL L NOVOA TAKARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1111 E MCDOWELL RD, BANNER GOOD SAMARITAN HOSPITAL, INTERNAL MEDICINE DEPT, PHOENIX, AZ 85006-2612
(602) 839-2296
(602) 839-2084
Mailing address
1111 E MCDOWELL RD, BANNER GOOD SAMARITAN HOSPITAL, INTERNAL MEDICINE DEPT, PHOENIX, AZ 85006-2612
(602) 839-2296
(602) 839-2084
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
41652
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
444164
—
AZ
Enumeration date
05/12/2006
Last updated
04/13/2010
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