person
Dr. Jason Lyle Novick, DPM
Foot & Ankle Surgery Podiatrist in Capitola, California
NPI 1689630808

Jason Lyle Novick is a Foot & Ankle Surgery Podiatrist based in Capitola, CA and is specialized in Foot & Ankle Surgery. Jason Lyle Novick practices in Capitola, CA and has the professional credentials of DPM. The NPI Number for Jason Lyle Novick is 1689630808 and holds a License No. E4661 (California).

The current practice location address for Jason Lyle Novick is 525 Capitola Ave, Capitola, CA and can be reached out via phone at 831-462-2132 and via fax at 831-462-2930.

Location: 525 Capitola Ave, Capitola, CA, 95010-2759
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Provider Profile Details
NPI Number
1689630808
Provider Name
Jason Lyle Novick
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
525 Capitola Ave, Capitola, CA, 95010-2759
Phone Number
831-462-2132
Fax Number
831-462-2930
Provider Enumeration Date
04/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00363267 01 CA RAIL ROAD MEDICARE GROUP MEMBER PTAN
institution
Provider Business Practice Location Address Details
Address
525 Capitola Ave
City
State
Zip
95010-2759
Phone Number
831-462-2132
Fax Number
831-462-2930
person
Provider Business Mailing Address Details
Address
525 Capitola Ave
City
State
Zip
95010-2759
Phone Number
831-462-2132
Fax Number
831-462-2930
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
E4661 (California)
Definition
Definition to come...
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