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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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