Organization
PRATT MEDICAL CENTER,LTD
Active
Other names
PRATT HEALTHCARE RADIOLOGY
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT WALKER (PRESIDENT)
(540) 345-3556
Entity
Organization
Contact information
Practice address
12101 CAROL LN, FREDERICKSBURG, VA 22407-6101
(540) 785-7200
(540) 786-8927
Mailing address
PO BOX 8310, ROANOKE, VA 24014-0310
(540) 345-3556
(540) 342-2193
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0101033516
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080024148
MEDICARE RAILROAD
VA
01
—
175407
ANTHEM
VA
01
—
2102141
AETNA HMO
VA
01
—
211753
MAMSI OTHER
VA
01
—
2120696
MAMSI MRI
VA
01
—
5986659
AETNA
VA
01
—
CA9037
MCR RAILROAD GROUP
VA
Enumeration date
12/04/2006
Last updated
06/13/2019
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