1225028434 John M Provenza, M.D.
Gastroenterology Physician
Active
Basic Information
- Full Name
- John M Provenza, M.D.
- Gender
- Male
- Enumeration Date
- October 27, 2005
- Last Update
- August 12, 2022
Practice Location
- Address
- 8383 MILLICENT WAY STE B
SHREVEPORT, LA 71115 - Phone
- (318) 631-9121
- Fax
- (318) 213-6246
Mailing Address
- Address
- 3217 MABEL ST
SHREVEPORT, LA 711034022 - Phone
- (318) 631-9121
- Fax
- (318) 631-9126
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Gastroenterology Physician Gastroenterology | 207RG0100X | Internal Medicine | 017860 | LA | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD.017860 | 01 | LA | STATE LICENSE |
| 1376442 | 05 | LA | N/A |
Frequently Asked Questions
What is John M Provenza, M.D.'s NPI number?
John M Provenza, M.D.'s NPI number is 1225028434.
Which doctor has NPI number 1225028434?
The doctor with NPI number 1225028434 is John M Provenza, M.D..
What is John M Provenza, M.D.'s practice address?
John M Provenza, M.D.'s practice address is 8383 MILLICENT WAY STE B, SHREVEPORT, LA, 71115.
Which doctor practices at 8383 MILLICENT WAY STE B, SHREVEPORT, LA, 71115?
John M Provenza, M.D. practices at 8383 MILLICENT WAY STE B, SHREVEPORT, LA, 71115.
What is John M Provenza, M.D.'s mailing address?
John M Provenza, M.D.'s mailing address is 3217 MABEL ST, SHREVEPORT, LA, 711034022.
What is John M Provenza, M.D.'s phone number?
John M Provenza, M.D.'s phone number is (318) 631-9121.
Who is (318) 631-9121?
(318) 631-9121 is the phone number for John M Provenza, M.D..
What is John M Provenza, M.D.'s specialty?
John M Provenza, M.D.'s specialty is Gastroenterology Physician.
What type of doctor is John M Provenza, M.D.?
John M Provenza, M.D. is a Gastroenterology Physician.
Is John M Provenza, M.D. a Gastroenterology?
Yes, John M Provenza, M.D. is a Gastroenterology.
Is John M Provenza, M.D. still practicing?
Yes, John M Provenza, M.D. is currently practicing.
Is John M Provenza, M.D. accepting new patients?
John M Provenza, M.D. may be accepting new patients. Please call their office at (318) 631-9121 to inquire about availability.
Is NPI 1225028434 still active?
Yes, NPI 1225028434 is currently active.
Where does John M Provenza, M.D. practice?
John M Provenza, M.D. practices in SHREVEPORT, LA.
Is John M Provenza, M.D. a male or female doctor?
John M Provenza, M.D. is a male doctor.