DAVID GERARD PROVAZNIK

WHEELERSBURG, OH
NPI1245267624
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: OH  34005337)
Enumeration Date2006-06-28
Last Update Date2014-02-12
Business Address
Dr. DAVID GERARD PROVAZNIK DO
11826 GALLIA PIKE SUITE A
WHEELERSBURG, OH 45694-9119
Phone number: 740-574-4526
Mailing Address
Dr. DAVID GERARD PROVAZNIK DO
PO BOX 2379
ASHLAND, KY 41105-2379
Phone number: 740-574-4526
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