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Individual

DR. SUSAN E PRATER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
11724 SOUTH STATE ST, STE 100, DRAPER, UT 84020-7165
(801) 576-2065
(801) 576-2066
Mailing address
11724 SOUTH STATE ST, STE 100, DRAPER, UT 84020-7165
(801) 576-2065
(801) 576-2066

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
8008989-1205
UT

Other

Enumeration date
03/04/2009
Last updated
10/22/2014
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