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NPI Code Detail

MEDICARE: DR. PAUL W PRATT D.C.

MEDICARE: DR. PAUL W PRATT D.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor3511AZ

General Provider Information

NPI Number : 1346376944
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PAUL W PRATT D.C.
Provider Business Mailing Address
First Line : 3102 N COUNTRY CLUB RD
Second Line :
City : TUCSON
State : AZ
Zip : 85716-1613
Country : US
Telephone Number : 520-327-6100
Fax Number : 520-327-6102
Provider Business Practice Location Address
First Line : 3102 N COUNTRY CLUB RD
Second Line :
City : TUCSON
State : AZ
Zip : 85716-1613
Country : US
Telephone Number : 520-327-6100
Fax Number : 520-327-6102
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/26/2007
Last Update Date : 07/08/2007

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