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Augie N. Provencio
Family Medicine Physician in Livingston, California
NPI 1467590158

Augie N. Provencio is a Family Medicine Physician based in Livingston, CA. Augie N. Provencio practices in Livingston, CA. The NPI Number for Augie N. Provencio is 1467590158 and holds a License No. 36333 (California).

The current practice location address for Augie N. Provencio is 600 B St Bldg A-C, Livingston, CA and can be reached out via phone at 209-850-3500.

Location: 600 B St Bldg A-C, Livingston, CA, 95334-9593
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467590158
Provider Name
Augie N. Provencio
Credential
Provider Entity Type
Individual
Gender
Male
Address
600 B St Bldg A-C, Livingston, CA, 95334-9593
Phone Number
209-850-3500
Fax Number
Provider Enumeration Date
02/02/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00A480990 05 CA
539497 05 AZ
institution
Provider Business Practice Location Address Details
Address
600 B St Bldg A-C
City
Livingston
State
California
Zip
95334-9593
Phone Number
209-850-3500
Fax Number
person
Provider Business Mailing Address Details
Address
600 B St Bldg A-C
City
Livingston
State
California
Zip
95334-9593
Phone Number
209-850-3500
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
36333 (Arizona)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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