Nealan Dewayne Prather MD

NPI 1053340349 - Internal Medicine - 207R00000X

NPI Details
NPI 1053340349
Gender Male
Enumeration Date 07/01/2006
Last Updated 01/03/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
2400 HOSPITAL DR
SUITE 420
BOSSIER CITY LA, 71111-2385, US
Phone (318) 212-7910
Fax (318) 212-7915
Business Location
2400 HOSPITAL DR
SUITE 420
BOSSIER CITY LA, 71111-2385, US
Phone (318) 212-7910
Fax (318) 212-7915
Toxanomy
Taxonomy Code 207R00000X
License State Louisiana
License Number 013322
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According to our database, Nealan Dewayne Prather MD NPI is 1053340349, taxonomy code is 207R00000X and license number is 013322, license state is located at Louisiana. Nealan Dewayne Prather MD physically located at 2400 Hospital Dr, Bossier City LA, 71111-2385. NPI Number Nealan Dewayne Prather MD has the Individual type.

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1053340349 NPI number is provided on an as is basis without warranty of any kind. 1053340349 is maintained by the National Plan & Provider Enumeration System. The contents of Nealan Dewayne Prather MD are for informational purposes only.