Charles Chris Novak, MD Valid NPI

Individual provider · Psychiatry Physician · Boise, ID

NPI

1770511743

Type

Individual (Type 1)

Primary specialty

Psychiatry Physician (Psychiatry & Neurology)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

2084P0800X

License number

M4922 (ID)

Sex

Male

Sole proprietor

No

Enumerated

2006-06-29

Last updated

2021-04-16