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

GINA PROVENZANO, MD

Active

GINA PROVENZANO, MD is a Orthopaedic Surgery healthcare provider located in EDMOND, Oklahoma. NPI 1841784030 is currently active in the NPPES registry. Verify at CMS.

Orthopaedic Surgery · EDMOND, OK

Registration Details

NPI Number
1841784030
Provider Type
Individual
Gender
Female
NPI Issued
Jun 20, 2018 (8.0063750049693 yrs)
Last Updated
Aug 29, 2024
Licenses
MD481359 (PA)
42869 (OK)

Practice Information

Address
2017 W I 35 FRONTAGE RD STE 250
EDMOND, OK, 730138561
Browse OK providers · Browse ZIP 73013
Phone
4057573340
Fax
4057573520
Primary Specialty
Orthopaedic Surgery
207X00000X
Additional Specialty
Orthopaedic Surgery

Other Orthopaedic Surgery Providers in EDMOND, OK

Name Credential NPI
RICK D BELLER MD 1427044015
DR. WILLIAM J. HALE II M.D. 1215917778
DR. WILLIAM A HERNDON MD 1972575306
DR. STEPHEN B CONNER MD 1053383497
DR. JAY K GANNAWAY MD 1609847086
DR. CHARLES DAVID WOOD MD 1871608497
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.