Individual
DR. PROKOPIS ANNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M,D.
Contact information
Practice address
590 S WAKARA WAY, SALT LAKE CITY, UT 84108-1200
(801) 587-5450
Mailing address
590 S WAKARA WAY, SALT LAKE CITY, UT 84108-1200
(801) 587-5450
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
8593756-8952
UT
Other
Enumeration date
04/30/2013
Last updated
04/30/2013
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