Individual
ERICK GIOVANNI NOVA SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3300 W CAMELBACK RD, PHOENIX, AZ 85017-3030
(602) 639-8667
Mailing address
6865 W FIREBIRD DR, GLENDALE, AZ 85308-8979
(623) 606-5825
Taxonomy
Speciality
Code
Description
License number
State
2471C3402X
Radiography Radiologic Technologist
Primary
16309
AZ
Other
Enumeration date
08/28/2019
Last updated
08/28/2019
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