Provider Demographics
NPI:1417286451
Name:PRATT, C ROBERT (CORONER)
Entity Type:Individual
Prefix:MR
First Name:C
Middle Name:ROBERT
Last Name:PRATT
Suffix:
Gender:M
Credentials:CORONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:510 OAK ST
Mailing Address - Street 2:ROOM 5
Mailing Address - City:NEZPERCE
Mailing Address - State:ID
Mailing Address - Zip Code:83543-5064
Mailing Address - Country:US
Mailing Address - Phone:208-937-2698
Mailing Address - Fax:
Practice Address - Street 1:510 OAK ST
Practice Address - Street 2:ROOM 5
Practice Address - City:NEZPERCE
Practice Address - State:ID
Practice Address - Zip Code:83543-5064
Practice Address - Country:US
Practice Address - Phone:208-937-2698
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-12-22
Last Update Date:2009-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes173000000XOther Service ProvidersLegal Medicine