MICHAEL PRATT

BURLEY, ID
NPI1497098891
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: ID  M-13206)
Enumeration Date2013-04-03
Last Update Date2016-07-21
Business Address
-- MICHAEL PRATT
1501 HILAND AVE
BURLEY, ID 83318-2688
Phone number: 208-677-6560
Mailing Address
-- MICHAEL PRATT
1501 HILAND AVE
BURLEY, ID 83318-2688
Phone number:
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