Organization
PRATT CARDIAC DIAGNOSTIC CENTER
Active
Other names
PRATT HEALTHCARE CARDIAC DIAGNOSTIC CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT WALKER (PRESIDENT)
(540) 345-3556
Entity
Organization
Contact information
Practice address
1451 HOSPITAL DR, FREDERICKSBURG, VA 22401-8424
(540) 368-5384
(540) 374-3292
Mailing address
PO BOX 8310, ROANOKE, VA 24014-0310
(540) 345-3556
(540) 342-2193
Taxonomy
Speciality
Code
Description
License number
State
207UN0901X
Nuclear Cardiology Physician
Primary
0101018510
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080024148
MEDICARE RAILROAD
VA
01
—
211753
MAMSI
VA
01
—
237341
ANTHEM
VA
01
—
3409592
AETNA HMO
VA
01
—
7277516
AETNA NON HMO
VA
01
—
C02375
MEDICARE GROUP
VA
01
—
CA9037
MCR RAILROAD GROUP
VA
Enumeration date
11/30/2006
Last updated
06/13/2019
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