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Organization
PRATT FAMILY PRACTICE LLC
Active
Organization
PRATT FAMILY PRACTICE LLC
Active
Other names
Pratt Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN WAKON FOWLER M.D. (MEDICAL DIRECTOR)
(620) 672-7422
Entity
Organization
Contact information
Practice address
203 WATSON ST, SUITE 200, PRATT, KS 67124-3066
(620) 672-7422
(620) 450-1601
Mailing address
203 WATSON ST, SUITE 200, PRATT, KS 67124-3066
(620) 672-7422
(620) 450-1601
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
178987
KS
Other
Enumeration date
03/05/2007
Last updated
03/07/2012
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