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Stephane Provencher, D.C
NPI 1376729376 · on the registry since 2008
Practice
- Address
- 8006 Crescent Park Dr
Gainesville, VA 20155 - Phone
- (571) 248-0695
- Fax
- (571) 248-0964
- Organisation at this address
- Stephane Provencher Llc
Stephane Provencher Llc
Benchmark Physical Therapy Of Va, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Chiropractor
111N00000X
- Also registered as
- Chiropractor
- Licence states on file
- MO, VA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-06-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia