Paul Thomas Provance in Mountain Home - Internal Medicine

Paul Thomas Provance - NPI 1760429740

Paul Thomas Provance is a Internal Medicine in Mountain Home, Tennessee. Paul Thomas Provance practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Paul Thomas Provance is 1760429740. The last update date is 2010-11-08.

Paul Thomas Provance's current location address is Po Box 4000, Mountain Home, Tennessee. You can contact this provider via phone number 4239261171. The mailing address for Paul Thomas Provance is Po Box 4000, Mountain Home, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Name Paul Thomas Provance
Address Po Box 4000, Mountain Home, Tennessee
Phone Number 4239261171
Fax Number
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1760429740
Provider Enumeration Date 2006-05-31
Last Updated Date 2010-11-08

Provider Mailing Address Detail

Address Po Box 4000
City Mountain Home
State Tennessee (TN)
Post Code 376844000
Phone Number 4239261171
Fax Number

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No 35.086268
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
3825653 TN --
2571293 OH --

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FAQs about Paul Thomas Provance

What is the unique provider identifier assigned to Paul Thomas Provance?

The Paul Thomas Provance has been issued the NPI (National Provider Identifier) 1760429740 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Paul Thomas Provance?

The Paul Thomas Provance is physically situated at Po Box 4000, in the city of Mountain Home, state of TN, with the postal code 376844000.

What is Paul Thomas Provance's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Paul Thomas Provance is Internal Medicine, and the taxonomy code that categorizes this field of expertise is 207R00000X.

On what date was the 1760429740 assigned to Paul Thomas Provance?

The Paul Thomas Provance was issued its 1760429740 on 2006-05-31, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Paul Thomas Provance most recently updated or revised?

The information pertaining to Paul Thomas Provance, including its address, specialty, and other relevant details, was last updated or revised on 2010-11-08.

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