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1104872068
TIMOTHY JAMES PRATT
FENTON, MO
NPI
1104872068
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MO R9E55)
Enumeration Date
2006-05-25
Last Update Date
2024-06-19
Business Address
TIMOTHY JAMES PRATT M.D.
1011 BOWLES AVENUE SUITE 121
FENTON, MO 63026
Phone number: 314-766-2066
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Mailing Address
TIMOTHY JAMES PRATT M.D.
PO BOX 220375
KIRKWOOD, MO 63122-0375
Phone number: 314-766-2066
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