Ellen Michelle Provost, DO

NPI #1053344572 in Anchorage, Alaska

Provider Information

NPI Number
1053344572
Entity Type
Individual
Name
Ellen Michelle Provost, DO
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Internal Medicine
Credential
DO
Enumeration Date
Jul 8, 2006
Last Updated
Oct 17, 2008

Practice Location

Address
4315 DIPLOMACY DR
State
Alaska
ZIP Code
99508-5926
Phone
(907) 729-1500

Specialties & Taxonomy Codes

Specialty
Internal Medicine

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