Carolyn Pearl Prater D.O.

NPI 1821203340 - Pediatrics - 208000000X

NPI Details
NPI 1821203340
Gender Female
Enumeration Date 05/10/2007
Last Updated 03/05/2012
Entity Type Individual
Active Over 9 years ago
Practice Location
530 S MAIDEN LN
JOPLIN MO, 64801-3084, US
Phone (417) 659-9100
Fax (417) 659-9101
Business Location
4301 DONIPHAN DR
NEOSHO MO, 64850-9120, US
Phone (417) 451-9450
Fax (417) 451-8903
Toxanomy
Taxonomy Code 208000000X
License State Missouri
License Number 106608
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According to our database, Dr. Carolyn Pearl Prater D.O. NPI is 1821203340, taxonomy code is 208000000X and license number is 106608, license state is located at Missouri. Carolyn Pearl Prater D.O. physically located at 530 S Maiden Ln, Joplin MO, 64801-3084. NPI Number Carolyn Pearl Prater D.O. has the Individual type.

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1821203340 NPI number is provided on an as is basis without warranty of any kind. 1821203340 is maintained by the National Plan & Provider Enumeration System. The contents of Carolyn Pearl Prater D.O. are for informational purposes only.