Dr. Alyssa J Provagna, MD
Dr. Alyssa J Provagna, MD is an Obstetrics/Gynecology in Fort Leonard Wood, Missouri. Graduated from Wayne State University School of Medicine in 2019, 7 years ago. Practices as a sole proprietor. Licensed in Virginia.
- Years since qualifying
- 7
- Trained at
- Wayne State University School of Medicine
- Licensed in
- VA
- In the registry since
- 2019
- Specialties on file
- 2
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
4430 Missouri AveFort Leonard Wood, MO 65473-9098
Phone: (573) 596-1770
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Obstetrics & Gynecology Physician (primary) | Taxonomy 207V00000X · Licence 0101270674 (VA) |
|---|---|
| General Practice Physician | Taxonomy 208D00000X · Licence 010127064 (VA) |
Record details
| NPI number | 1578024527 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MD |
| Sole proprietor | Yes |
| NPI enumerated | March 30, 2019 |
| Last updated in NPPES | April 17, 2026 |
| Certification date | April 17, 2026 |
Medicare enrollment
| Medicare specialty | OBSTETRICS/GYNECOLOGY |
|---|---|
| Medical school | WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE |
| Graduated | 2019 (7 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 2 on file with Medicare |