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Dr. James Michael Provenzale, MD
Diagnostic Radiology Physician in Durham, North Carolina
NPI 1750476578

James Michael Provenzale is a Diagnostic Radiology Physician based in Charlotte, NC and is specialized in Diagnostic Radiology. James Michael Provenzale practices in Durham, NC and has the professional credentials of MD. The NPI Number for James Michael Provenzale is 1750476578 and holds a License No. 35727 (North Carolina).

The current practice location address for James Michael Provenzale is 4101 N Roxboro St, Durham, NC and can be reached out via phone at 919-684-8111.

Location: 4101 N Roxboro St, Durham, NC, 28263-3362
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750476578
Provider Name
James Michael Provenzale
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4101 N Roxboro St, Durham, NC, 28263-3362
Phone Number
919-684-8111
Fax Number
Provider Enumeration Date
10/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8969373 05 NC
institution
Provider Business Practice Location Address Details
Address
4101 N Roxboro St
City
Durham
State
North Carolina
Zip
27704-2121
Phone Number
919-684-8111
Fax Number
person
Provider Business Mailing Address Details
Address
4101 N Roxboro St
City
Durham
State
North Carolina
Zip
27704-2121
Phone Number
919-684-8111
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
35727 (North Carolina)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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