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Search › Arizona › 237700000X

Matthew Provost

NPI 1619799335 · on the registry since 2024

Practice

Address
5401 S White Mountain Rd Ste B
Show Low, AZ 85901
Phone
(928) 537-8479
Organisation at this address
Walmart Inc.
Walmart Stores, Inc.
Arizona Contact Lens Consultants Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
237700000X
237700000X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-10-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona