Roger Dane Prock, MD

NPI #1063432268 in Tulsa, Oklahoma

Provider Information

NPI Number: 1063432268
Entity Type: Individual
Name: Roger Dane Prock, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: MD
Enumeration Date: Jul 20, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 9322 E 41ST ST
City: Tulsa
State: Oklahoma
ZIP Code: 74145-3721
Phone: (918) 764-7235

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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