8383 MILLICENT WAY STE B
SHREVEPORT, LA 71115 US PECOS Enrolled
Overview
John M Provenza is a Gastroenterologist in the SHREVEPORT area and has over 41 years of experience. John M Provenza primary office location is at 8383 MILLICENT WAY STE B and new patients are welcome to contact this healthcare provider for an appointment. He attended Louisiana State University School Of Medicine In Shreveport and graduated 1984
John M Provenza is affiliated with two hospitals in the SHREVEPORT area, including CHRISTUS SHREVEPORT-BOSSIER HEALTH SYSTEM. The NPI number is 1225028434 and the information was updated approximately 3 years ago.
John M Provenza is part of three medical groups, including CAPITOL CITY FAMILY HEALTH CENTER INCORPORATED.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: NO
Participates in PECOS: YES (See any PECOS details below)
Contact Information
| License Number | State |
|---|---|
| 017860 | LA |
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