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Individual
MR. PETER L PROCKO
Active
Individual
MR. PETER L PROCKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
ARNP1961972
FL
163WC0200X
Critical Care Medicine Registered Nurse
RN090565
GA
367500000X
Certified Registered Nurse Anesthetist
3390
SC
367500000X
Certified Registered Nurse Anesthetist
RN090565
GA
367500000X
Certified Registered Nurse Anesthetist
Primary
RNA113009
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000559237L
—
GA
01
—
P00378017
RRB
GA
Enumeration date
12/12/2006
Last updated
12/29/2016
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