DR. David Gerard Provaznik, DO

NPI #1245267624 in Wheelersburg, Ohio

Provider Information

NPI Number
1245267624
Entity Type
Individual
Name
DR. David Gerard Provaznik, DO
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Family Medicine
Credential
DO
Enumeration Date
Jun 28, 2006
Last Updated
Feb 12, 2014

Practice Location

Address
11826 GALLIA PIKE
Address 2
SUITE A
State
Ohio
ZIP Code
45694-9119
Phone
(740) 574-4526

Specialties & Taxonomy Codes

Specialty
Family Medicine

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