JOHN PROVENZA, M.D.
Internal Medicine - Gastroenterology
Active
Individual
NPI: 1225028434
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Internal Medicine - Gastroenterology | 207RG0100X | Yes | 017860 (LA) |
Frequently Asked Questions
NPI 1225028434 is the National Provider Identifier for JOHN PROVENZA, M.D., a Internal Medicine - Gastroenterology provider located in Shreveport, LA. This NPI was enumerated on October 27, 2005.
JOHN PROVENZA, M.D. practices at 8383 MILLICENT WAY STE B, Shreveport, LA 71115.
Quick Facts
- NPI
- 1225028434
- Type
- Individual
- Enumerated
- Oct 27, 2005
- Last Updated
- Aug 12, 2022
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