Dr. Douglas Provaznik, MD
Dr. Douglas Provaznik, MD is a Student in an Organized Health Care Education/Training Program in Little Rock, Arkansas. Works from 2 locations. Licensed in Arkansas.
- Licensed in
- AR
- In the registry since
- 2018
- Specialties on file
- 2
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
Little Rock, ARNo coordinates on file. Search this address in Google Maps
Additional practice locations (1)
- 1955 W Truckers Dr, Fayetteville, AR 72704-5637 — (479) 973-6000
Specialties & licences
| Psychiatry Physician (primary) | Taxonomy 2084P0800X · Licence E-14627 (AR) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1851897516 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | April 2, 2018 |
| Last updated in NPPES | January 31, 2022 |
| Certification date | January 31, 2022 |
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