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

STEPHEN G. PROVONSHA, MD

Active

STEPHEN G. PROVONSHA, MD is a General Practice healthcare provider located in RIVERSIDE, California. NPI 1598836413 is currently active in the NPPES registry. Verify at CMS.

General Practice · RIVERSIDE, CA

Registration Details

NPI Number
1598836413
Provider Type
Individual
Gender
Male
NPI Issued
Nov 13, 2006 (19.714057915553 yrs)
Last Updated
Nov 30, 2021
License
G51217 (CA)

Practice Information

Address
10800 MAGNOLIA AVE
RIVERSIDE, CA, 925053043
Browse CA providers · Browse ZIP 92505
Phone
9093532000
Primary Specialty
General Practice
208D00000X

Other General Practice Providers in RIVERSIDE, CA

Name Credential NPI
BETINA GIDEON-GREER M.D. 1316924582
DEE W. LIM MD 1295894889
DR. LYDIA DAYANG DAVID M.D. 1720119605
DR. CESAR REIS MD 1215255385
DR. PRABHA DHALLA M.D. 1144549049
DR. THEODORE EUGENE WYMAN M.D. 1083926919
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.