William R. Prebola, M.D.
Physical Medicine & Rehabilitation in Wilkes Barre, PA. Individual provider (NPI-1).
NPI number1447243902
StatusActive
Last updated in NPPESMar 20, 2015
Details
- NPI
- 1447243902
- Entity type
- Individual (NPI-1)
- Name
- William R. Prebola
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 30, 2005
- Last updated
- Mar 20, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | MD042746L | PA | Yes |
| 2081P2900X | Physical Medicine & Rehabilitation, Pain Medicine | MD042746L | PA |
Practice location
150 Mundy StWilkes Barre, PA 18702-6830
Phone 570-824-0930 · Fax 570-824-7755
Mailing address
150 Mundy StMac IV Building
Wilkes Barre, PA 18702-6830
Phone 570-824-0930 · Fax 570-824-7755
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