Thomas R Prostko
NPI #1780883942 in Easley, South Carolina
Provider Information
- NPI Number
- 1780883942
- Entity Type
- Organization
- Organization Name
- Thomas R Prostko
- Primary Specialty
- Clinic/Center - Medical Specialty
- Enumeration Date
- Jul 17, 2007
- Last Updated
- Jun 19, 2008
Practice Location
- Address
- 403 HILLCREST DR
- Address 2
- SUITE A
- City
- Easley
- State
- South Carolina
- ZIP Code
- 29640-1207
- Phone
- (864) 442-0771
Authorized Official
- Name
- DR. THOMAS R. PROSTKO, M.D.
- Title
- OWNER
- Phone
- (864) 442-0771
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Medical Specialty — Medical Specialty |
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