Mr. John Marshall Provost C.PED
Durable Medical Equipment & Medical Supplies
- Gender: Male
- Sole propriator: Yes
About Mr. John Marshall Provost
He is located at 25 Laurel Mall, , in Hazleton, PA 18202. Appointment can be made via the phone number (570) 455-7704.
Mr. John Marshall Provost - Address, Phone & Website
25 Laurel Mall, , Hazleton, PA 18202
(570) 455-7704
Medical Specialties & Taxonomy codes
| Primary | Specialty | Taxonomy Code |
|---|---|---|
| Yes | Durable Medical Equipment & Medical Supplies | 332B00000X |
Licenses
| State | License Number |
|---|---|
| Pennsylvania | 4244780002 |