Dr. Sean Prater, M.D.
Student in an Organized Health Care Education/Training Program in Sacramento, CA. Individual provider (NPI-1).
NPI number1710366141
StatusActive
Last updated in NPPESMay 18, 2015
Details
- NPI
- 1710366141
- Entity type
- Individual (NPI-1)
- Name
- Dr. Sean Prater
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 18, 2015
- Last updated
- May 18, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
2230 Stockton BlvdSacramento, CA 95817-1353
Phone 916-734-2614
Mailing address
2230 Stockton BlvdSacramento, CA 95817-1353
Phone 916-734-2614
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