Individual
JONATHAN BRENT PRATHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2949 S UNION ST, OPELOUSAS, LA 70570-5740
(337) 948-9606
(337) 948-7003
Mailing address
2949 S UNION ST, OPELOUSAS, LA 70570-5740
(337) 948-9606
(337) 948-7003
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
014301
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1301833
—
LA
Enumeration date
07/13/2006
Last updated
09/19/2019
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