Charlene M Prather
Gastroenterologist
Slucare Center For Specialized Medicine 1225 South Grand Blvd
Saint Louis
, Missouri 63104
Charlene M Prather
Gastroenterologist
Slucare Center For Specialized Medicine 1225 South Grand Blvd
Saint Louis
, Missouri 63104
(314) 977-4440
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About
Features
Specialties
- Gastroenterologist
Languages spoken
- English
Location
First Address
- Charlene M Prather
- 3691 Rutger Ave Provider Enrollment
- St Louis, MO
- Zip : 63110
- Phone : (314) 977-4440
Second Address
- Charlene M Prather
- Slucare Center For Specialized Medicine 1225 South Grand Blvd
- Saint Louis, MO
- Zip : 63104
- Phone : (314) 577-6000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RG0100X | Gastroenterologist | R3H22 | MO |
National Provider Identifier
| NPI | 1043228927 |
|---|---|
| Provider Name | Charlene M Prather |
| First Address | St Louis, MO 63110 |
| Second Address | Saint Louis, MO 63104 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/08/2006 |
| Last Update Date | 25/11/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.