STEPHEN PROVONSHA, MD
General Practice
Active
Individual
NPI: 1598836413
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| General Practice | 208D00000X | Yes | G51217 (CA) |
Frequently Asked Questions
NPI 1598836413 is the National Provider Identifier for STEPHEN PROVONSHA, MD, a General Practice provider located in Riverside, CA. This NPI was enumerated on November 13, 2006.
STEPHEN PROVONSHA, MD practices at 10800 MAGNOLIA AVE, Riverside, CA 92505.
Quick Facts
- NPI
- 1598836413
- Type
- Individual
- Enumerated
- Nov 13, 2006
- Last Updated
- Nov 30, 2021
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