| Doctor Name: | MARK W PRAGER |
| NPI Number: | 1841341187 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.O |
| License Number: | 0102037012 |
| Business Practice Address: | 115 E Rockingham St Elkton, VA - 228271522 |
| Business Phone Number: | 5402981300 |
| Business Fax Number: | 5402989090 |
| Mailing Address: | 9834 Business Way, MANASSAS |
| State: | VA |
| Postal Code: | 201104151 |
| Phone Number: | 7033617708 |
| Fax Number: | 7033617639 |
| NPI Enumeration Date: | 01/15/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 0102037012 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |