Richard Provencial, CAS

NPI 1538790134 · on the registry since 2020 · sole proprietor

Practice

Address: 2993 S Peoria St Ste G5
Aurora, CO 80014
Phone: (720) 249-8862
Organisation at this address: Zion Care Llc
Mednow Clinics, Inc
Embracekids Ii, Llc
Colorado Orthodontics
Ag Medical Supply Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 16

Registry record

Primary taxonomy: 101YA0400X
101YA0400X
Licence states on file: CO
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2024-11-06

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 Colorado