David G Provaznik Do Inc in Wheelersburg - Family Medicine

David G Provaznik Do Inc - NPI 1780799775

David G Provaznik Do Inc is a Family Medicine in Wheelersburg, Ohio. David G Provaznik Do Inc practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for David G Provaznik Do Inc is 1780799775. The last update date is 2010-05-18.

David G Provaznik Do Inc's current location address is 11826 Gallia Pike Rd, Wheelersburg, Ohio. You can contact this provider via phone number 7405744526 and fax number 7405742895. The mailing address for David G Provaznik Do Inc is 11826 Gallia Pike Rd, Wheelersburg, Ohio. To know further, please read the information below!

Provider Profile Detail

Provider Organization David G Provaznik Do Inc
Address 11826 Gallia Pike Rd, Wheelersburg, Ohio
Phone Number 7405744526
Fax Number 7405742895
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT/
Authorized Official Name Provaznik Gerard David
Credentials DO
Telephone Number 7405744526

NPI Number Detail

NPI Number 1780799775
Provider Enumeration Date 2006-08-20
Last Updated Date 2010-05-18

Provider Mailing Address Detail

Address 11826 Gallia Pike Rd
City Wheelersburg
State Ohio (OH)
Post Code 456949119
Phone Number 7405744526
Fax Number 7405742895

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 34005337
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
965915 OH --

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FAQs about David G Provaznik Do Inc

What is the unique identification code assigned to David G Provaznik Do Inc by the Centers for Medicare & Medicaid Services?

The David G Provaznik Do Inc has been issued the NPI (National Provider Identifier) 1780799775. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where David G Provaznik Do Inc is geographically located?

The David G Provaznik Do Inc is physically situated at the following location: 11826 Gallia Pike Rd, Wheelersburg, OH, 456949119.

What is David G Provaznik Do Inc's specialized field of practice, and what is the corresponding taxonomy classification code?

The David G Provaznik Do Inc's area of specialization is Family Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Q00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1780799775 to David G Provaznik Do Inc?

The David G Provaznik Do Inc received its 1780799775 assignment from the Centers for Medicare & Medicaid Services on 2006-08-20.

As of what date were the details related to David G Provaznik Do Inc most recently updated or revised?

The information pertaining to David G Provaznik Do Inc, including its address, specialty, and other relevant details, was last updated or revised on 2010-05-18.

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