| NPI | 1740233204 |
|---|---|
| Doing Business As | PRATT FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | WAKON FOWLER Medical Director 620-672-7422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2015-07-16 |