Individual
ANDREW RUSSELL PRATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1301 E 7TH ST, PUEBLO, CO 81001-3508
(719) 543-8711
(719) 543-0171
Mailing address
110 E ROUTT AVE, PUEBLO, CO 81004-2117
(719) 543-8711
(719) 585-3057
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0007692
CO
Other
Enumeration date
10/26/2022
Last updated
10/24/2023
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