Individual provider · Type 1 NPI

James Michael Provenzale, MD

Diagnostic Radiology Physician · Durham, NC

NPI number 1750476578 Active

Practice location

4101 N Roxboro St
Durham, NC 27704-2121

Call (919) 684-8111 Map

Mailing address

PO Box 63362
Charlotte, NC 28263-3362

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202X35727 (NC)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1750476578

James Michael Provenzale, MD's National Provider Identifier is 1750476578, issued on Oct 4, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Durham, NC. The record was last updated on Oct 31, 2023.