VERN J. PROCHASKA, M.D., LTD
Medical Practice at Fort Apache Rd, Las Vegas, NV

License number
Nevada 7534
Category
Medical Practice
Type
Specialist
Owner
Name: DR. VERN J PROCHASKA MD
Title: PRESIDENT
Phone: (702) 795-2622
Address
Address
5546 S Fort Apache Rd SUITE 100, Las Vegas, NV 89148
National Provider ID: 1174734081
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Vern J. Prochaska, M.D., Ltd

Las Vegas, NV

Status:
Inactive
Registration:
Dec 5, 1996
Addresses:
3121 S Maryland Pkwy, Las Vegas, NV 89109
5546 S Ft Apache Rd, Las Vegas, NV 89148
State ID:
C24911-1996
Business type:
Domestic Professional Corporation
President, Secretary, Treasurer:
Vern J. Prochaska, M.d., Ltd President, Secretary, Treasurer, inactive
Agent:
Vern J. Prochaska

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