DAVID PROVAZNIK

DAYTON, OH
NPI1982099941
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: OH  xxxxxxxxxx)
Enumeration Date2015-04-06
Last Update Date2015-04-06
Business Address
Dr. DAVID PROVAZNIK D.O.
627 S EDWIN C MOSES BLVD EAST MEDICAL PLAZA 1ST FLOOR
DAYTON, OH 45417-3461
Phone number: 937-223-8840
Mailing Address
Dr. DAVID PROVAZNIK D.O.
627 S EDWIN C MOSES BLVD EAST MEDICAL PLAZA 1ST FLOOR
DAYTON, OH 45417-3461
Phone number: 937-223-8840
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