DR. Paul Thomas Provance, M.D.
NPI #1760429740 in Mountain Home, Tennessee
Provider Information
- NPI Number
- 1760429740
- Entity Type
- Individual
- Name
- DR. Paul Thomas Provance, M.D.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Internal Medicine
- Credential
- M.D.
- Enumeration Date
- May 31, 2006
- Last Updated
- Nov 8, 2010
Practice Location
- Address
- JAMES H QUILLEN VA MEDICAL CENTER
- City
- Mountain Home
- State
- Tennessee
- ZIP Code
- 37684-4000
- Phone
- (423) 926-1171
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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