Provider Demographics
NPI:1417118472
Name:DAVID F. PRATT MD PS
Entity Type:Organization
Organization Name:DAVID F. PRATT MD PS
Other - Org Name:SOGAB SURGERY CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:F
Authorized Official - Last Name:PRATT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:425-754-6260
Mailing Address - Street 1:10413 NE 37TH CIR
Mailing Address - Street 2:BUILDING 3 SUITE B
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98033-7924
Mailing Address - Country:US
Mailing Address - Phone:425-285-2112
Mailing Address - Fax:425-803-0218
Practice Address - Street 1:10413 NE 37TH CIR
Practice Address - Street 2:BLDG 3, STE B
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98033-7924
Practice Address - Country:US
Practice Address - Phone:425-285-2112
Practice Address - Fax:425-803-0218
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-23
Last Update Date:2014-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical