Search › Oklahoma › 207X00000X
Gina Provenzano, MD
NPI 1841784030 · on the registry since 2018
Practice
- Address
- 2017 W I 35 Frontage Rd Ste 250
Edmond, OK 73013 - Phone
- (405) 757-3340
- Fax
- (405) 757-3520
- Organisation at this address
- Mercy Pharmacy Services, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 62
Registry record
- Primary taxonomy
- 207X00000X
207X00000X
- Also registered as
- 207X00000X
- Licence states on file
- PA, OK
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-08-29
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 Oklahoma