Gerry G Provance D.C.

NPI 1063555662 - Chiropractor - 111NS0005X

NPI Details
NPI 1063555662
Gender Male
Enumeration Date 02/14/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
2007 CLEARVIEW PKWY
METAIRIE LA, 70001-2404, US
Phone (504) 456-9296
Fax (504) 456-9799
Business Location
2007 CLEARVIEW PKWY
METAIRIE LA, 70001-2404, US
Phone (504) 456-9296
Fax (504) 456-9799
Toxanomy
Taxonomy Code 111NS0005X
License State Louisiana
License Number 414
Remove 1063555662 NPI Number
 

According to our database, Gerry G Provance D.C. NPI is 1063555662, taxonomy code is 111NS0005X and license number is 414, license state is located at Louisiana. Gerry G Provance D.C. physically located at 2007 Clearview Pkwy, Metairie LA, 70001-2404. NPI Number Gerry G Provance D.C. has the Individual type.

Sponsored links

1063555662 NPI number is provided on an as is basis without warranty of any kind. 1063555662 is maintained by the National Plan & Provider Enumeration System. The contents of Gerry G Provance D.C. are for informational purposes only.