Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Douglas Provaznik, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1851897516

Dr. Douglas Provaznik, MD is a Student in an Organized Health Care Education/Training Program in Little Rock, Arkansas. Works from 2 locations. Licensed in Arkansas.

Licensed in
AR
In the registry since
2018
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4301 W Markham St # 589
Little Rock, AR 72205-7199
Phone: (501) 526-8148
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1955 W Truckers Dr, Fayetteville, AR 72704-5637 — (479) 973-6000

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence E-14627 (AR)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1851897516
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 2, 2018
Last updated in NPPESJanuary 31, 2022
Certification dateJanuary 31, 2022

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