Individual
ALISA KOVAL
Active
Individual
ALISA KOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
0051620
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FK3493993
CONTROLLED SUBSTANCE REG
CO
Enumeration date
11/16/2009
Last updated
11/07/2012
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