AUGIE PROVENCIO

Family Medicine Physician

NPI: 1467590158IndividualAccepts Medicare

Specialties, Licenses & Credentials

Family Medicine PhysicianPrimary

Family Medicine

Code: 207Q00000X

36333(AZ)3673(AK)A48099(CA)

CMS Specialties

PrimaryFAMILY PRACTICE

Additional

EMERGENCY MEDICINE

Education

NEW YORK MEDICAL COLLEGE

Class of 1988

Contact & Hours

Via practice · 2 locations total

Address: 600 B ST BLDG A-C
LIVINGSTON, CA 95334
Phone: (209) 850-3500

Locations (2)

Practice Location

600 B ST BLDG A-C, LIVINGSTON, CA

Practice Location

200 W HOSPITAL DR., WHITERIVER, AZ

Quick Facts

NPI: 1467590158
Entity Type: Individual
Gender: Male
Medicare: Accepted
Specialties: 3
Locations: 2
Years in Practice: 38

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