Individual
DR. JAMES VINCENT PROCHAZKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9300 VALLEY CHILDRENS PL, MADERA, CA 93638-8761
(559) 353-6257
(559) 353-5455
Mailing address
3333 W CHENNAULT AVE, FRESNO, CA 93711-0218
(559) 353-6257
(559) 353-5455
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
C32992
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C329992
STATE MEDICAL LICENSE
CA
Enumeration date
08/29/2006
Last updated
07/09/2007
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