Individual provider · Type 1 NPI

Alyssa J. Provagna, MD

Obstetrics & Gynecology Physician · Fort Leonard Wood, MO

NPI number 1578024527 Active

Practice location

4430 Missouri Ave
Fort Leonard Wood, MO 65473-9098

Mailing address

4234 Illinois Ave
Fort Leonard Wood, MO 65473-9098

Specialties and licenses

TaxonomyCodeLicense
Obstetrics & Gynecology Physician Primary 207V00000X0101270674 (VA)
General Practice Physician 208D00000X010127064 (VA)

Obstetrics & Gynecology Physician: 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.

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About NPI 1578024527

Alyssa J. Provagna, MD's National Provider Identifier is 1578024527, issued on Mar 30, 2019. The primary taxonomy on file is Obstetrics & Gynecology Physician (207V00000X), and the practice location is in Fort Leonard Wood, MO. The record was last updated on Apr 17, 2026.