PAUL EDWARD PROVAZNIK

FAYETTEVILLE, AR
NPI1780793786
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: MI  4301057388)
Enumeration Date2006-08-30
Last Update Date2007-07-08
Business Address
Dr. PAUL EDWARD PROVAZNIK M.D.
1100 N COLLEGE AVE
FAYETTEVILLE, AR 72703-1944
Phone number: 479-444-5016
Mailing Address
Dr. PAUL EDWARD PROVAZNIK M.D.
1100 N COLLEGE AVE
FAYETTEVILLE, AR 72703-1944
Phone number: 479-444-5016
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