Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. WALLACE ROY PRATT, MD
ActiveDR. WALLACE ROY PRATT, MD is a Allergy & Immunology healthcare provider located in SHAWNEE, Oklahoma. NPI 1831146851 is currently active in the NPPES registry. Verify at CMS.
Allergy & Immunology · SHAWNEE, OK
Registration Details
- NPI Number
- 1831146851
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 27, 2006 (20.239532468417 yrs)
- Last Updated
- Nov 11, 2016
- License
-
18812 (OK)
Practice Information
- Address
-
3315 KETHLEY RDSHAWNEE, OK, 748049638Browse OK providers · Browse ZIP 74804
- Phone
- 4052735801
- Fax
- 4058783794
- Primary Specialty
-
Allergy & Immunology
207K00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.