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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

STEPHANE PROVENCHER, D.C.

Active

STEPHANE PROVENCHER, D.C. is a Chiropractor healthcare provider located in GAINESVILLE, Virginia. NPI 1376729376 is currently active in the NPPES registry. Verify at CMS.

Chiropractor · GAINESVILLE, VA

Registration Details

NPI Number
1376729376
Provider Type
Individual
Gender
Male
NPI Issued
Jan 21, 2008 (18.548775765243 yrs)
Last Updated
Jun 11, 2019
Licenses
2008001511 (MO)
0104556839 (VA)

Practice Information

Address
8006 CRESCENT PARK DR
GAINESVILLE, VA, 20155
Browse VA providers · Browse ZIP 20155
Phone
5712480695
Fax
5712480964
Primary Specialty
Chiropractor
111N00000X
Additional Specialty
Chiropractor

Other Chiropractor Providers in GAINESVILLE, VA

Name Credential NPI
DR. HOLLY D MORIARTY DC 1346222338
DR. KEVIN MAGGS D.C. 1134214034
DR. ALICIA ANN HAUPT D.C. 1619064433
DR. MICHAEL N GAITONDE DC 1376696435
DR. HYUNSIL CHOI DC 1164624029
DR. TARA L FORD D.C. 1013265974
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.