NPI 1003048026
Brett Allen Provence, DO
Practice location
- Address
- 1011 Baldwin Park Blvd 4 East Hospitalist Office, Baldwin Park, CA 91706-5806
- Phone
- (626) 851-1011
Registered specialties
Hospitalist Physician
Primary
Registry record
- NPI
- 1003048026
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 10 Aug 2009
- Record last updated
- 1 Dec 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.