Alisha Provost, DO
NPI #1073142816 in Nellis Afb, Nevada
Provider Information
- NPI Number
- 1073142816
- Entity Type
- Individual
- Name
- Alisha Provost, DO
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Family Medicine
- Credential
- DO
- Enumeration Date
- Apr 3, 2020
- Last Updated
- Jul 16, 2024
Practice Location
- Address
- 4700 LAS VEGAS BLVD N
- City
- Nellis Afb
- State
- Nevada
- ZIP Code
- 89191-6600
- Phone
- (702) 653-2273
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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