Individual provider · Type 1 NPI

Jose J. Provencio, MD

Neurology Physician · Charlottesville, VA

NPI number 1497781777 Active

Practice location

1215 Lee St
Charlottesville, VA 22908-0001

Call (434) 924-2101 Map

Fax (434) 982-2580

Mailing address

PO Box 9007
Charlottesville, VA 22906-9007

Specialties and licenses

TaxonomyCodeLicense
Neurology Physician Primary 2084N0400X0101056026 (VA)

Neurology Physician: A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

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About NPI 1497781777

Jose J. Provencio, MD's National Provider Identifier is 1497781777, issued on Jun 25, 2006. The primary taxonomy on file is Neurology Physician (2084N0400X), and the practice location is in Charlottesville, VA. The record was last updated on Oct 9, 2020.