Whalio Doctors

NPI 1003048026

Brett Allen Provence, DO

Practitioner Hospitalist Physician Baldwin Park, CA

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
Allopathic & Osteopathic Physicians Taxonomy 208M00000X Licence 20A11220 (CA)

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.