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NPI Code Detail

MEDICARE: DR. CHRISTOPHER PHILIP NOVAK M.D., M.P.H.

MEDICARE: DR. CHRISTOPHER PHILIP NOVAK M.D., M.P.H.
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
12083P0901XPublic Health & General Preventive Medicine PhysicianMD2009-0030NM

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1508834110
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHRISTOPHER PHILIP NOVAK M.D., M.P.H.
Provider Business Mailing Address
First Line : 605 LETRADO ST STE D
Second Line :
City : SANTA FE
State : NM
Zip : 87505-4146
Country : US
Telephone Number : 505-476-2670
Fax Number : 505-476-2694
Provider Business Practice Location Address
First Line : 605 LETRADO ST STE D
Second Line :
City : SANTA FE
State : NM
Zip : 87505-4146
Country : US
Telephone Number : 505-476-2670
Fax Number : 505-476-2694
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2006
Last Update Date : 09/11/2024

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