Dr Alyssa J Provagna, MD | |
4430 Missouri Ave, Fort Leonard Wood, MO 65473-9098 | |
(573) 596-1770 | |
Not Available |
Full Name | Dr Alyssa J Provagna |
---|---|
Gender | Female |
Speciality | Obstetrics & Gynecology |
Location | 4430 Missouri Ave, Fort Leonard Wood, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578024527 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | 010127064 (Virginia) | Secondary |
207V00000X | Obstetrics & Gynecology | 0101270674 (Virginia) | Primary |
Mailing Address | Practice Location Address |
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Dr Alyssa J Provagna, MD 4430 Missouri Ave, Fort Leonard Wood, MO 65473-9098 Ph: (573) 596-1770 | Dr Alyssa J Provagna, MD 4430 Missouri Ave, Fort Leonard Wood, MO 65473-9098 Ph: (573) 596-1770 |
Dr. Leah Swanzy Scarlotta, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 4430 Missouri Ave, Fort Leonard Wood, MO 65473 Phone: 713-594-6936 | |
Dr. Keane Emile Mccullum, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 4430 Missouri Ave, Fort Leonard Wood, MO 65473 Phone: 573-596-1770 |