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NPI Code Detail

MEDICARE: GAIL SCOTT HOVORKA MD

MEDICARE: GAIL SCOTT HOVORKA MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianC52007CA

General Provider Information

NPI Number : 1417043969
Entity Type Code : Individual
Provider Name (Legal Business Name) : GAIL SCOTT HOVORKA MD
Provider Business Mailing Address
First Line : 670 NINTH STREET
Second Line : SUITE 203
City : ARCATA
State : CA
Zip : 95521
Country : US
Telephone Number : 707-826-8633
Fax Number : 707-826-8638
Provider Business Practice Location Address
First Line : 770 10TH ST
Second Line :
City : ARCATA
State : CA
Zip : 95521-6210
Country : US
Telephone Number : 707-826-8610
Fax Number : 707-826-8623
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2006
Last Update Date : 11/28/2011

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Directions to “ GAIL SCOTT HOVORKA MD” Practice Location

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