Prosper Tarley, PA-C

NPI #1265248314 in Lewes, Delaware

Provider Information

NPI Number: 1265248314
Entity Type: Individual
Name: Prosper Tarley, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Dec 4, 2024
Last Updated: Dec 6, 2024

Practice Location

Address: 12100 BLACK SWAN DR STE 201
City: Lewes
State: Delaware
ZIP Code: 19958-4991
Phone: (302) 644-3311

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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