Brett Allen Provence, D.O.

NPI #1003048026 in Baldwin Park, California

Provider Information

NPI Number: 1003048026
Entity Type: Individual
Name: Brett Allen Provence, D.O.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Hospitalist
Credential: D.O.
Enumeration Date: Aug 10, 2009
Last Updated: Dec 1, 2021

Practice Location

Address: 1011 BALDWIN PARK BLVD
Address 2: 4 EAST HOSPITALIST OFFICE
City: Baldwin Park
State: California
ZIP Code: 91706-5806
Phone: (626) 851-1011

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Hospitalist	208M00000X	Primary

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Organizations

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