NPI 1164740627

Matthew Gregory Prohaska, MD

Practitioner Orthopaedic Surgery Physician St Johnsbury, VT

Practice location

Address: 1315 Hospital Dr Nvrh Orthopaedics, St Johnsbury, VT 05819-9210
Phone: (802) 748-8141
Mailing address: PO Box 905 Nvrh Orthopaedics, St Johnsbury, VT 05819-0905

Registered specialties (2)

Orthopaedic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207X00000X Licence 042-0013063 (VT)

Other Orthopaedic Surgery providers in Vermont →

Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1164740627
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 May 2010
Record last updated: 6 Jul 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.