Individual
DR. JOHN MARK PRATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
114 LT MICHAEL CLEARY DR, DALLAS, PA 18612-1649
(570) 675-2000
(570) 675-1806
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD039516E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001109857
—
PA
Enumeration date
10/25/2006
Last updated
06/24/2020
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