Robert Prophater MD

NPI 1609816859 - Family Medicine - 207Q00000X

NPI Details
NPI 1609816859
Gender Male
Enumeration Date 06/07/2006
Last Updated 06/24/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
55 ELVA CT
VANDALIA OH, 45377-1875, US
Phone (937) 208-7501
Fax (937) 208-7515
Business Location
55 ELVA CT
VANDALIA OH, 45377-1875, US
Phone (937) 208-7501
Fax (937) 208-7515
Toxanomy
Taxonomy Code 207Q00000X
License State Ohio
License Number 35-03-7640-P
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According to our database, Robert Prophater MD NPI is 1609816859, taxonomy code is 207Q00000X and license number is 35-03-7640-P, license state is located at Ohio. Robert Prophater MD physically located at 55 Elva Ct, Vandalia OH, 45377-1875. NPI Number Robert Prophater MD has the Individual type.

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1609816859 NPI number is provided on an as is basis without warranty of any kind. 1609816859 is maintained by the National Plan & Provider Enumeration System. The contents of Robert Prophater MD are for informational purposes only.