Mark J. Provda, MD

NPI #1194803254 in Walnut Creek, California

Provider Information

NPI Number: 1194803254
Entity Type: Individual
Name: Mark J. Provda, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Emergency Medicine
Credential: MD
Enumeration Date: Nov 2, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1425 S MAIN ST
City: Walnut Creek
State: California
ZIP Code: 94596-5318
Phone: (925) 295-4000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary

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