GINA PROVENZANO

EDMOND, OK
NPI1841784030
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207X00000X Orthopaedic Surgery
(Licence: OK  42869)
Additional Taxonomies207X00000X Orthopaedic Surgery
(Licence: PA  MD481359)
Enumeration Date2018-06-20
Last Update Date2024-08-29
Business Address
GINA PROVENZANO MD
2017 W I 35 FRONTAGE RD STE 250
EDMOND, OK 73013-8561
Phone number: 405-757-3340
Mailing Address
GINA PROVENZANO MD
2017 W I 35 FRONTAGE RD STE 250
EDMOND, OK 73013-8561
Phone number: 405-757-3340