Richard M Novak DC, CCST

NPI 1083619449 - Chiropractor - 111N00000X

NPI Details
NPI 1083619449
Gender Male
Enumeration Date 06/14/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
4A OAK DR
MARYVILLE IL, 62062-5809, US
Phone (618) 288-8075
Fax (618) 288-8095
Business Location
4A OAK DR
MARYVILLE IL, 62062-5809, US
Phone (618) 288-8075
Fax (618) 288-8095
Toxanomy
Taxonomy Code 111N00000X
License State
License Number
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According to our database, Dr. Richard M Novak DC, CCST NPI is 1083619449, taxonomy code is 111N00000X Richard M Novak DC, CCST physically located at 4a Oak Dr, Maryville IL, 62062-5809. NPI Number Richard M Novak DC, CCST has the Individual type.

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1083619449 NPI number is provided on an as is basis without warranty of any kind. 1083619449 is maintained by the National Plan & Provider Enumeration System. The contents of Richard M Novak DC, CCST are for informational purposes only.