Organization
PROVOST CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL PROVOST DC (OWNER)
(808) 895-5262
Entity
Organization
Contact information
Practice address
415 ULUNIU ST STE D, KAILUA, HI 96734-2503
(808) 895-5262
(808) 215-7408
Mailing address
415 ULUNIU ST STE D, KAILUA, HI 96734-2503
(808) 895-5262
(808) 215-7408
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
07/01/2024
Last updated
07/01/2024
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