GREGORY D. NOVAK, M.D. P.C.
Medical Practice at University Ave, Flagstaff, AZ

License number
Arizona 41896
Category
Medical Practice
Type
Anatomic Pathology & Clinical Pathology
Owner
Name: DR. GREGORY DANIEL NOVAK M.D.
Title: OWNER
Phone: (928) 774-1693
Address
Address
1600 W University Ave SUITE 215, Flagstaff, AZ 86001
National Provider ID: 1730310418
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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GREGORY D. NOVAK, MD, PC

3200 S Litzler Dr STE 7-230, Flagstaff, AZ 86001

Status:
Inactive
Inactive reason:
Ad-dissolved-file annual report
Registration:
Jul 13, 2009
Inactive since:
Dec 20, 2012
State ID:
-1539085-0
Expiration:
PERPETUAL
President:
Gregory D Novak Md (President), 3200 S Litzler Dr STE 7-230, Flagstaff, AZ 86001 (Physical)
Agent:
Bradley C Scott Cpa,804 N Beaver St, Flagstaff, AZ 86001 (Physical)
Business type:
HEALTH CARE

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