MR. Benjamin Dale Prohaska, PHYSICIAN ASSISTANT

NPI #1174652143 in Reno, Nevada

Provider Information

NPI Number: 1174652143
Entity Type: Individual
Name: MR. Benjamin Dale Prohaska, PHYSICIAN ASSISTANT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PHYSICIAN ASSISTANT
Enumeration Date: Mar 5, 2007
Last Updated: Jan 18, 2022

Practice Location

Address: 10085 DOUBLE R BLVD
Address 2: STE 310
City: Reno
State: Nevada
ZIP Code: 89521
Phone: (775) 982-7260

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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