Individual provider · Type 1 NPI
John Adams Prokup, DVM, MPH
Other Specialist/Technologist · Las Vegas, NV
NPI number
1417555673
Active
Practice location
8400 S Eastern Ave
Las Vegas, NV 89123-2816
Mailing address
8944 Dulcimer Ln
Las Vegas, NV 89123-3075
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Other Specialist/Technologist Primary | 246Z00000X | 2376-A (NV) |
Other Specialist/Technologist: General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.
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About NPI 1417555673
John Adams Prokup, DVM, MPH's National Provider Identifier is 1417555673, issued on Oct 10, 2020. The primary taxonomy on file is Other Specialist/Technologist (246Z00000X), and the practice location is in Las Vegas, NV. The record was last updated on Oct 10, 2020.