Organization
VERN J. PROCHASKA, M.D., LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VERN J PROCHASKA MD (PRESIDENT)
(702) 795-2622
Entity
Organization
Contact information
Practice address
5546 S FORT APACHE RD, SUITE 100, LAS VEGAS, NV 89148-7692
(702) 795-2622
(702) 453-2622
Mailing address
5546 S FORT APACHE RD, SUITE 100, LAS VEGAS, NV 89148-7692
(702) 795-2622
(702) 453-2622
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
7534
NV
Other
Enumeration date
05/24/2007
Last updated
12/04/2007
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