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

Matthew Provost

Individual provider Hearing Instrument Specialist · NPI 1619799335

Matthew Provost is a Hearing Instrument Specialist in Show Low, Arizona. Licensed in Arizona. Registered with an NPI since 2024.

Licensed in
AZ
In the registry since
2024

Practice location Address checks out

5401 S White Mountain Rd Ste B
Show Low, AZ 85901-7849
Phone: (928) 537-8479
Show map & directions

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

Specialties & licences

Hearing Instrument Specialist (primary) Taxonomy 237700000X · Licence HADE15739 (AZ)

Record details

NPI number1619799335
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 25, 2024
Last updated in NPPESOctober 25, 2024
Certification dateOctober 25, 2024
Mailing address5401 S White Mountain Rd Ste B, Show Low, AZ 85901-7849

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