WILLIAM PROVOSTY

LOS ANGELES, CA
NPI1003440223
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2084F0202X Psychiatry & Neurology, Forensic Psychiatry
(Licence: CA  A200462)
Enumeration Date2020-02-26
Last Update Date2025-11-10
Business Address
WILLIAM PROVOSTY MD
PO BOX 86125
LOS ANGELES, CA 90086-0125
Phone number: 323-409-4942
Mailing Address
WILLIAM PROVOSTY MD
PO BOX 86125
LOS ANGELES, CA 90086-0125
Phone number:
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