Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOHN M PROVENZA, M.D.
ActiveJOHN M PROVENZA, M.D. is a Gastroenterology healthcare provider located in SHREVEPORT, Louisiana. NPI 1225028434 is currently active in the NPPES registry. Verify at CMS.
Gastroenterology · SHREVEPORT, LA
Registration Details
- NPI Number
- 1225028434
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 27, 2005 (20.790351264365 yrs)
- Last Updated
- Aug 12, 2022
- License
-
017860 (LA)
Practice Information
- Address
-
8383 MILLICENT WAY STE BSHREVEPORT, LA, 71115Browse LA providers · Browse ZIP 71115
- Phone
- 3186319121
- Fax
- 3182136246
- Primary Specialty
-
Gastroenterology
207RG0100X
Other Gastroenterology Providers in SHREVEPORT, LA
| Name | Credential | NPI |
|---|---|---|
| DR. MICHAEL BIVENS BRANNAN | M.D. | 1861495822 |
| DR. EDWIN C GLASSELL | MD FACG | 1588658462 |
| DAVID A. SCOTT | M.D. | 1760478465 |
| DALE P. MCGINTY | MD | 1376539171 |
| ARTHUR L POCH | M.D. | 1831187301 |
| HUMBERTO I AGUILAR | M.D. | 1366432577 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.