Search › Tennessee › 207R00000X
Paul Provance, M.D
NPI 1760429740 · on the registry since 2006
Practice
- Address
- James H Quillen Va Medical Center
Mountain Home, TN 37684 - Phone
- (423) 926-1171
- Clinicians at this address
- 15
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Also registered as
- 207R00000X
- Licence states on file
- OH, TN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2010-11-08
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 Tennessee