Individual provider · Type 1 NPI

Gina Provenzano, MD

Orthopaedic Surgery Physician · Edmond, OK

NPI number 1841784030 Active

Practice location

2017 W I 35 Frontage Rd Ste 250
Edmond, OK 73013-8561

Fax (405) 757-3520

Specialties and licenses

TaxonomyCodeLicense
Orthopaedic Surgery Physician 207X00000XMD481359 (PA)
Orthopaedic Surgery Physician Primary 207X00000X42869 (OK)

Orthopaedic Surgery Physician: An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformitie…

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About NPI 1841784030

Gina Provenzano, MD's National Provider Identifier is 1841784030, issued on Jun 20, 2018. The primary taxonomy on file is Orthopaedic Surgery Physician (207X00000X), and the practice location is in Edmond, OK. The record was last updated on Aug 29, 2024.