License holder summary

Augustine Q. Provencio MD is a Medical Doctor licensed to practice in Arizona. The address on file for Augustine Q. Provencio MD is Navapache Regional Medical Center, 2200 E Show Low Lake Rd, Show Low AZ 85901-7831. This licensed professional license is not current. The license was granted 11/16/2006.

Arizona

Board of Licensing

Augustine Q. Provencio MD
Medical Doctor
License number
36333
Date granted
11/16/2006
Class
Medical Doctor
Status
Expired
Address
Navapache Regional Medical Center, 2200 E Show Low Lake Rd, Show Low AZ 85901-7831
arizonalicensing.com
ID 22119993
LAST UPDATED 2024-04-25 06:25:28 UTC

This website is unaffiliated with Arizona and its licensing agencies. Please verify all information directly with the relevant official government authority.

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