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Dr. Alyssa J Provagna, MD
Obstetrics & Gynecology Physician in Fort Leonard Wood, Missouri
NPI 1578024527

Alyssa J Provagna is a Obstetrics & Gynecology Physician based in Fort Leonard Wood, MO. Alyssa J Provagna practices in Fort Leonard Wood, MO and has the professional credentials of MD. The NPI Number for Alyssa J Provagna is 1578024527 and holds a License No. 010127064 (Missouri).

The current practice location address for Alyssa J Provagna is 4430 Missouri Ave, Fort Leonard Wood, MO and can be reached out via phone at 573-596-1770.

Location: 4430 Missouri Ave, Fort Leonard Wood, MO, 65473-9098
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578024527
Provider Name
Alyssa J Provagna
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
4430 Missouri Ave, Fort Leonard Wood, MO, 65473-9098
Phone Number
573-596-1770
Fax Number
Provider Enumeration Date
03/30/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4430 Missouri Ave
City
Fort Leonard Wood
State
Missouri
Zip
65473-9098
Phone Number
573-596-1770
Fax Number
person
Provider Business Mailing Address Details
Address
4430 Missouri Ave
City
Fort Leonard Wood
State
Missouri
Zip
65473-9098
Phone Number
573-596-1770
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
0101270674 (Virginia)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
010127064 (Virginia)
Definition
Definition to come...
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