| Doctor Name: | BETH ANN PRAIRIE |
| NPI Number: | 1003918749 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | MD433642 |
| Business Practice Address: | 7011 Crider Rd Ste 101 Mars, PA - 160462383 |
| Business Phone Number: | 4128547140 |
| Business Fax Number: | 4128547142 |
| Mailing Address: | 1000 Higbee Dr, Suite 102 BETHEL PARK |
| State: | PA |
| Postal Code: | 151024200 |
| Phone Number: | 4125785539 |
| Fax Number: | 4128547142 |
| NPI Enumeration Date: | 09/02/2006 |
| NPI Last Update Date: | 01/22/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207VG0400X |
| License Number: | MD433642 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | Gynecology |
| Taxonomy Definition: | |