Arizona
Board of Licensing
Faye P. Provenza MD
Medical Doctor
License number
34387
Date granted
07/18/2005
Class
Medical Doctor
Status
Active
arizonalicensing.com
ID 22144145
LAST UPDATED 2026-03-17 08:26:28 UTC
LAST UPDATED 2026-03-17 08:26:28 UTC