Search › Idaho › 207Q00000X
Michael Pratt
NPI 1497098891 · on the registry since 2013 · sole proprietor
Practice
- Address
- 1501 Hiland Ave
Burley, ID 83318 - Phone
- (208) 677-6560
- Organisation at this address
- Rnba Llc
Medical Lab Service
Anesthesia West, Pa
Wayne H Blauer Md Pa
Ihc Health Services IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 68
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-07-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho