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Individual

YONG PRATT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
7261 MERCY RD, OMAHA, NE 68124-2311
(712) 328-5490
(712) 325-2499
Mailing address
800 MERCY DR, COUNCIL BLUFFS, IA 51503-3128
(712) 328-5490
(712) 325-2499

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
04335
IA
207R00000X
Internal Medicine Physician
906
NE
208M00000X
Hospitalist Physician
906
NE
208M00000X
Hospitalist Physician
Primary
DO-04335
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
098684527
MEDICARE PTAN
NE
01
414530125
MEDICARE PTAN
IA
Enumeration date
06/01/2009
Last updated
04/10/2017
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