Organization
PRATT FAMILY PRACTICE LLC
Active
Other names
Pratt Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN WAKON FOWLER M.D. (MEDICAL DIRECTOR)
(620) 672-7422
Entity
Organization
Contact information
Practice address
203 WATSON ST, SUITE 200, PRATT, KS 67124-3066
(620) 672-7422
(620) 450-1601
Mailing address
203 WATSON ST, SUITE 200, PRATT, KS 67124-3066
(620) 672-7422
(620) 450-1601
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
178987
KS
Other
Enumeration date
03/05/2007
Last updated
03/07/2012
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