CHRISTIAN PROVENZA

MEMPHIS, TN
NPI1659906741
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207P00000X Emergency Medicine
(Licence: TN  67438)
Enumeration Date2020-03-09
Last Update Date2024-08-28
Business Address
CHRISTIAN PROVENZA
1265 UNION AVE
MEMPHIS, TN 38104-3415
Phone number: 901-516-7000
Mailing Address
CHRISTIAN PROVENZA
1882 WALKER AVE
MEMPHIS, TN 38114-1755
Phone number:
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