Individual
STEFAN PROKOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3400 SPRUCE ST, DEPARTMENT OF PATHOLOGY, PHILADELPHIA, PA 19104-4238
(215) 662-4829
Mailing address
PO BOX 100159, GAINESVILLE, FL 32610-0159
(352) 294-5781
Taxonomy
Speciality
Code
Description
License number
State
207ZN0500X
Neuropathology Physician
Primary
ME140117
FL
Other
Enumeration date
08/04/2015
Last updated
08/28/2024
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