Paul Edward Provaznik in Fayetteville - Internal Medicine
Paul Edward Provaznik - NPI 1780793786
Paul Edward Provaznik is a Internal Medicine in Fayetteville, Arkansas. Paul Edward Provaznik practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Paul Edward Provaznik is 1780793786. The last update date is 2007-07-08.
Paul Edward Provaznik's current location address is 1100 N College Ave, Fayetteville, Arkansas. You can contact this provider via phone number 4794445016 and fax number 4795875980. The mailing address for Paul Edward Provaznik is 1100 N College Ave, Fayetteville, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Paul Edward Provaznik |
|---|---|
| Address | 1100 N College Ave, Fayetteville, Arkansas |
| Phone Number | 4794445016 |
| Fax Number | 4795875980 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1780793786 |
|---|---|
| Provider Enumeration Date | 2006-08-30 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1100 N College Ave |
|---|---|
| City | Fayetteville |
| State | Arkansas (AR) |
| Post Code | 727031944 |
| Phone Number | 4794445016 |
| Fax Number | 4795875980 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 4301057388 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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What is the unique 10-digit identification code issued to Paul Edward Provaznik by the Centers for Medicare & Medicaid Services?
The Paul Edward Provaznik has been assigned the NPI (National Provider Identifier) 1780793786 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Paul Edward Provaznik?
The Paul Edward Provaznik is physically situated at 1100 N College Ave, in the city of Fayetteville, state of AR, with the postal code 727031944.
What is the Paul Edward Provaznik's specialty and taxonomy code?
The Paul Edward Provaznik's specialty is Internal Medicine, and the corresponding taxonomy code is 207R00000X.
When did the Paul Edward Provaznik receive its 1780793786?
The Paul Edward Provaznik was issued its 1780793786 on 2006-08-30, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding Paul Edward Provaznik, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Paul Edward Provaznik, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.