Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Carol Joy Provan

Individual provider Pediatrics Physician · NPI 1780736041

Carol Joy Provan is a Pediatrics Physician in Redwood City, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007

Practice location Address checks out

2710 Middlefield Rd
Redwood City, CA 94063-3404
Phone: (650) 573-2222
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence A25599 (CA)

Record details

NPI number1780736041
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 17, 2007
Last updated in NPPESJuly 8, 2007

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