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Individual

JOHN HOWARD PRATT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
541 CLINICAL DR, CL 365, INDIANAPOLIS, IN 46202-5233
(317) 274-4347
(317) 274-4311
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01027254A
IN
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
01027254
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100059210
IN
Enumeration date
04/19/2006
Last updated
12/28/2020
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