Individual
DR. JOHN FORREST PRATER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3101 E SHEA BLVD STE 220, PHOENIX, AZ 85028-3209
(602) 795-1834
(602) 795-2608
Mailing address
3101 E SHEA BLVD STE 220, PHOENIX, AZ 85028-3209
(602) 795-1834
(602) 795-2608
Taxonomy
Speciality
Code
Description
License number
State
2084P0015X
Psychosomatic Medicine Physician
OS4879
FL
2084P0800X
Psychiatry Physician
Primary
007409
AZ
Other
Enumeration date
04/23/2007
Last updated
06/24/2024
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