Individual
DR. ROBERT PROVASOLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1018 7TH AVE SE, OLYMPIA, WA 98501-1512
(360) 459-8114
(360) 493-8742
Mailing address
1018 7TH AVE SE, OLYMPIA, WA 98501-1512
(360) 459-8114
(360) 493-8742
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00002232
WA
Other
Enumeration date
11/28/2006
Last updated
07/08/2007
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