Individual
MITCHELL K PRATTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1975 N STATE ST, OREM, UT 84057-2028
(801) 714-5500
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 714-5500
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
364166
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D2631
—
UT
Enumeration date
05/31/2006
Last updated
03/24/2014
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