Individual
MR. DONALD EDWARD PRATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3908 10TH ST SE, PUYALLUP, WA 98374-2188
(253) 848-5951
(253) 845-7073
Mailing address
10004 204TH AVE E, STE #3400, BONNEY LAKE, WA 98391-6539
(253) 848-5951
(253) 845-7073
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10003373
WA
363AM0700X
Medical Physician Assistant
10003373
WA
Other
Enumeration date
12/14/2005
Last updated
09/14/2016
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