Gina Provenzano, MD

NPI #1841784030 in Edmond, Oklahoma

Provider Information

NPI Number: 1841784030
Entity Type: Individual
Name: Gina Provenzano, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Orthopaedic Surgery
Credential: MD
Enumeration Date: Jun 20, 2018
Last Updated: Aug 29, 2024

Practice Location

Address: 2017 W I 35 FRONTAGE RD STE 250
City: Edmond
State: Oklahoma
ZIP Code: 73013-8561
Phone: (405) 757-3340

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthopaedic Surgery	207X00000X	Primary

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