David G Provaznik Do INC
NPI #1780799775 in Wheelersburg, Ohio
Provider Information
- NPI Number
- 1780799775
- Entity Type
- Organization
- Organization Name
- David G Provaznik Do INC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Aug 20, 2006
- Last Updated
- May 18, 2010
Practice Location
- Address
- 11826 GALLIA PIKE RD
- Address 2
- SUITE A
- City
- Wheelersburg
- State
- Ohio
- ZIP Code
- 45694-9119
- Phone
- (740) 574-4526
Authorized Official
- Name
- DAVID GERARD PROVAZNIK, DO
- Title
- PRESIDENT/CEO
- Phone
- (740) 574-4526
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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