Individual
CLAYTON PRATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
413 LILLY RD NE, OLYMPIA, WA 98506-5133
(493) 455-4360
Mailing address
2799 W GRAND BLVD, HFH MEDICAL EDUCATION DEPARTMENT, DETROIT, MI 48202-2608
(313) 916-1553
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD61035956
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
MI
Other
Enumeration date
03/28/2017
Last updated
10/07/2020
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