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1922028919
DAVID PROKOP
BANGOR, ME
NPI
1922028919
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: ME MD16224)
Enumeration Date
2006-07-20
Last Update Date
2022-02-03
Business Address
DAVID PROKOP MD
900 BROADWAY
BANGOR, ME 04401-1900
Phone number: 207-907-3300
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Mailing Address
DAVID PROKOP MD
C/O ST MARYS HEALTH SYSTEM - PROVIDER ENROLLMENT PO BOX 7291
LEWISTON, ME 04243-7291
Phone number: 207-777-8560
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