DR. Alyssa J Provagna, MD
NPI #1578024527 in Fort Leonard Wood, Missouri
Provider Information
- NPI Number
- 1578024527
- Entity Type
- Individual
- Name
- DR. Alyssa J Provagna, MD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Obstetrics & Gynecology
- Credential
- MD
- Enumeration Date
- Mar 30, 2019
- Last Updated
- Jul 28, 2023
Practice Location
- Address
- 4430 MISSOURI AVE
- State
- Missouri
- ZIP Code
- 65473-9098
- Phone
- (573) 596-1770
Specialties & Taxonomy Codes
| Specialty |
|---|
| General Practice |
| Obstetrics & Gynecology |
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