JOSE J PROVENCIO, M.D.
Osteopathic Medicine at Lee St, Charlottesville, VA

License number
Virginia 0101056026
Category
Neurology
Type
Neurology
License number
Virginia 35082252P
Category
Neurology
Type
Neurology
License number
Virginia 0101056026
Category
Osteopathic Medicine
Type
Critical Care Medicine
Address
Address
1215 Lee St FLOOR GROUND, Charlottesville, VA 22908
Phone
(434) 924-8371
(434) 982-1726 (Fax)
National Provider ID: 1497781777
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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