Individual
RICHMOND PRATER ALLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
23773
SC
208VP0000X
Pain Medicine Physician
23773
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
237737
—
SC
01
—
P00386918
MEDICARE RAILROAD PTAN #
GA
Enumeration date
05/16/2006
Last updated
02/20/2017
Update your record
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