DR. Trang Pham Prosak, O.D.

NPI #1558771105 in Wright Patterson Afb, Ohio

Provider Information

NPI Number: 1558771105
Entity Type: Individual
Name: DR. Trang Pham Prosak, O.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: May 5, 2014
Last Updated: Jul 15, 2021

Practice Location

Address: 4881 SUGAR MAPLE DR
City: Wright Patterson Afb
State: Ohio
ZIP Code: 45433-5529
Phone: (937) 656-0970

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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