Mark Prohaska, PH.D

NPI 1073663555 · on the registry since 2007

Practice

Address: 100 Rice Mine Road
Suite 303
Tuscaloosa, AL 35406
Phone: (205) 344-6169
Fax: (205) 344-6171
Organisation at this address: Excel Anesthesia
Riverwood Pharmacy Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: 103G00000X
103G00000X
Also registered as: 103T00000X
Licence states on file: AL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2009-02-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Alabama