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

Dr. Paul Edward Provaznik, MD

Individual provider Internal Medicine Physician · NPI 1780793786

Dr. Paul Edward Provaznik, MD is an Internal Medicine Physician in Fayetteville, Arkansas. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006
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

1100 N College Ave
Fayetteville, AR 72703-1944
Phone: (479) 444-5016
Fax: (479) 587-5980
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 4301057388 (MI)

Record details

NPI number1780793786
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 30, 2006
Last updated in NPPESJuly 8, 2007

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