Oto Prokop M.D.

NPI 1083631014 - Internal Medicine - 207R00000X

NPI Details
NPI 1083631014
Gender Male
Enumeration Date 07/16/2006
Last Updated 08/23/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
46 FAIRVIEW AVE
SUITE 111
SKOWHEGAN ME, 04976-1481, US
Phone (207) 474-0905
Fax (207) 474-6930
Business Location
PO BOX 468
SKOWHEGAN ME, 04976-0468, US
Phone (207) 858-2311
Fax (207) 474-9261
Toxanomy
Taxonomy Code 207R00000X
License State Maine
License Number MD15742
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According to our database, Oto Prokop M.D. NPI is 1083631014, taxonomy code is 207R00000X and license number is MD15742, license state is located at Maine. Oto Prokop M.D. physically located at 46 Fairview Ave, Skowhegan ME, 04976-1481. NPI Number Oto Prokop M.D. has the Individual type.

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1083631014 NPI number is provided on an as is basis without warranty of any kind. 1083631014 is maintained by the National Plan & Provider Enumeration System. The contents of Oto Prokop M.D. are for informational purposes only.