Individual
DR. LOUIS J NOVOA-TAKARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1111 E MCDOWELL RD, PHOENIX, AZ 85006-2612
(602) 685-5211
(623) 889-7407
Mailing address
PO BOX 42210, PHOENIX, AZ 85080-2210
(623) 889-7403
(623) 889-7407
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
41573
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006806261K
HUMANA
—
05
—
34345600
—
WI
Enumeration date
05/22/2006
Last updated
09/29/2020
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