Individual
DR. TARA N PROKOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6880 S MCCARRAN BLVD, #12, RENO, NV 89509-6104
(775) 329-5555
(775) 827-5596
Mailing address
6880 S MCCARRAN BLVD, #12, RENO, NV 89509-6104
(775) 329-5555
(775) 827-5596
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
11078
NV
Other
Enumeration date
03/30/2007
Last updated
07/08/2007
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