Mr. John Marshall Provost, CPED
Mr. John Marshall Provost, CPED is a Durable Medical Equipment & Medical Supplies in Hazleton, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.
- Licensed in
- PA
- In the registry since
- 2007
Practice location Address checks out
25 Laurel Mall Provost ShoesHazleton, PA 18202-1201
Phone: (570) 455-7704
Fax: (570) 455-7704
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Durable Medical Equipment & Medical Supplies (primary) | Taxonomy 332B00000X · Licence 4244780002 (PA) |
|---|
Record details
| NPI number | 1992821920 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CPED |
| Sole proprietor | Yes |
| NPI enumerated | March 21, 2007 |
| Last updated in NPPES | July 8, 2007 |
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Provost Shoes
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