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Individual

DR. RAYMOND WILLIAM NOVAK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
10500 E TANQUE VERDE RD, TUCSON, AZ 85749-8931
(520) 749-5980
(520) 749-4852
Mailing address
915 N SWAN RD, TUCSON, AZ 85711-1213
(520) 419-2499

Taxonomy

Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
14286
AZ

Other

Enumeration date
05/21/2009
Last updated
05/21/2009
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