Dr. Michael Edward Prater
Otolaryngologist (ENT Doctor) Otolaryngology/Facial Plastic Surgery
1760 Mcculloch Blvd N Ste. 100
Lake Havasu City
, Arizona 86403-6559
Dr. Michael Edward Prater
Otolaryngologist (ENT Doctor) Otolaryngology/Facial Plastic Surgery
1760 Mcculloch Blvd N Ste. 100
Lake Havasu City
, Arizona 86403-6559
(928) 854-4462
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About
Features
Specialties
- Otolaryngologist (ENT Doctor)
- Otolaryngology/Facial Plastic Surgery
Languages spoken
- English
Location
First Address
- Dr. Michael Edward Prater
- 1760 Mcculloch Blvd N Ste. 100
- Lake Havasu City, AZ
- Zip : 86403-6559
- Fax : (928) 854-4462
- Phone : (928) 854-5368
Second Address
- Dr. Michael Edward Prater
- 1760 Mcculloch Blvd N Ste. 100
- Lake Havasu City, AZ
- Zip : 86403-6559
- Fax : (928) 854-4462
- Phone : (928) 854-5368
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 28430 | AZ |
| N | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 28430 | AZ |
National Provider Identifier
| NPI | 1598723173 |
|---|---|
| Provider Name | Dr. Michael Edward Prater |
| First Address | Lake Havasu City, AZ 86403-6559 |
| Second Address | Lake Havasu City, AZ 86403-6559 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/05/2006 |
| Last Update Date | 27/03/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 515877 | (05) | AZ |
| G56464 | (02) | AZ |
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.