Organization
JOHN M. PRATER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MARK PRATER MD (PHYSICIAN)
(570) 822-8108
Entity
Organization
Contact information
Practice address
836 N WASHINGTON ST, WILKES BARRE, PA 18705-1823
(570) 822-8108
Mailing address
836 N WASHINGTON ST, WILKES BARRE, PA 18705-1823
(570) 822-8108
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD039516E
PA
Other
Enumeration date
06/01/2007
Last updated
08/22/2020
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