Individual
ELIZABETH A PROSSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.,F.A.C.P.
Contact information
Practice address
1917 WILLIAMSBURG WAY NE, LOUISVILLE, OH 44641-8781
(330) 875-3366
(330) 875-1106
Mailing address
3515 MASSILLON RD, STE 300, UNIONTOWN, OH 44685-6400
(330) 899-9350
(330) 634-1329
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35-05-3562
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0628164
—
OH
Enumeration date
06/24/2005
Last updated
09/12/2016
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