Individual
LAURA J PROKUSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3126 N CIVIC CENTER PLZ, SCOTTSDALE, AZ 85251-6912
(480) 874-2040
(480) 874-2041
Mailing address
3126 N. CIVIC CENTER PLAZA, SCOTTSDALE, AZ 85251-6912
(480) 874-2040
(480) 874-2041
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
34717
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
376601
—
AZ
Enumeration date
04/12/2006
Last updated
02/02/2009
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