JOSE PROVENCIO, M.D.

Psychiatry & Neurology - Neurology

Active Individual
NPI: 1497781777

Practice Address

1215 LEE ST
Charlottesville, VA 22908

Phone: (434) 924-2101

Specialties

Specialty Code Primary License
Psychiatry & Neurology - Neurology 2084N0400X Yes 0101056026 (VA)

Frequently Asked Questions

NPI 1497781777 is the National Provider Identifier for JOSE PROVENCIO, M.D., a Psychiatry & Neurology - Neurology provider located in Charlottesville, VA. This NPI was enumerated on June 25, 2006.
JOSE PROVENCIO, M.D. practices at 1215 LEE ST, Charlottesville, VA 22908.

Quick Facts

NPI
1497781777
Type
Individual
Enumerated
Jun 25, 2006
Last Updated
Oct 9, 2020

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