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Individual
BRIAN L PRATT
Active
Individual
BRIAN L PRATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
39097
IA
207Q00000X
Family Medicine Physician
48692
WI
207Q00000X
Family Medicine Physician
49838
MN
207Q00000X
Family Medicine Physician
9087963-1205
UT
Other
Enumeration date
02/08/2007
Last updated
12/15/2017
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