Individual
IAN GRIFFIN PRATOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
801 OSTRUM ST, BETHLEHEM, PA 18015-1000
(866) 785-8537
Mailing address
444 PHEASANT RD, SAYLORSBURG, PA 18353-8033
(484) 752-8170
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA064041
PA
Other
Enumeration date
09/29/2022
Last updated
09/29/2022
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