NPI | 1346379625 |
---|---|
Doing Business As | PRATT FAMILY PRACTICE |
Entity Type | Organization |
Authorized Contact | JOHN WAKON FOWLER Medical Director 620-672-7422 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: KS 178987) |
Enumeration Date | 2007-03-05 |
Last Update Date | 2012-03-07 |