Individual
DR. STACY G PRALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
700 HIGH ST, WILLIAMSPORT, PA 17701-3100
(570) 321-3454
(570) 321-3455
Mailing address
1201 GRAMPIAN BLVD, WILLIAMSPORT, PA 17701-1900
(570) 326-8723
(570) 326-8922
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
OS014965
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30226039
—
NH
Enumeration date
01/06/2007
Last updated
09/29/2020
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