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Contact Information

DAVID PRATT, MD
1055 N 500 W STE 102
PROVO, UT84604-3305
 Phone: 801-374-2367
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
Indicates primary specialty

NPI Profile & details for DAVID PRATT · (Male)

NPI # 1851492003
Status Active
Credentials MD
Entity Individual
Enumeration date 09/26/2006
Last updated 06/20/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 01070213A
  • KY License # 42433
  • MO License # 2007029607
  • OH License # 35093149
  • UT License # 12568775-1205
  • IN Medicaid 200975430
  • KY Medicaid 7100071100
  • OH Medicaid 2929835
Hospital affiliation(s)
  • JEWISH HOSPITAL LLC - (Acute Care)
    4777 EAST GALBRAITH ROAD
    CINCINNATI, OH 45236
  • MERCY HOSPITAL FAIRFIELD - (Acute Care)
    3000 MACK ROAD
    FAIRFIELD, OH 45014
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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