Individual
JOHN ADAMS PROKUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DVM, MPH
Contact information
Practice address
8400 S EASTERN AVE, LAS VEGAS, NV 89123-2816
(702) 361-5850
Mailing address
8944 DULCIMER LN, LAS VEGAS, NV 89123-3075
(310) 717-5718
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
2376-A
NV
Other
Enumeration date
10/10/2020
Last updated
10/10/2020
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