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1982925079
MICHAEL A PROKOP
SACRAMENTO, CA
NPI
1982925079
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207L00000X Anesthesiology
(Licence: CA 20A12248)
Enumeration Date
2010-06-12
Last Update Date
2020-07-13
Business Address
Dr. MICHAEL A PROKOP D.O.
3315 WATT AVE
SACRAMENTO, CA 95821-3600
Phone number: 800-642-6040
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Mailing Address
Dr. MICHAEL A PROKOP D.O.
3315 WATT AVE
SACRAMENTO, CA 95821-3600
Phone number: 800-642-6040
Copy
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