Wallace Roy Pratt in Shawnee - Allergy & Immunology

Wallace Roy Pratt - NPI 1831146851

Wallace Roy Pratt is a Allergy & Immunology in Shawnee, Oklahoma. Wallace Roy Pratt practices all healthcare services and medical treatments related to Allergy & Immunology. The NPI Number for Wallace Roy Pratt is 1831146851. The last update date is 2016-11-11.

Wallace Roy Pratt's current location address is 3315 Kethley Rd, Shawnee, Oklahoma. You can contact this provider via phone number 4052735801 and fax number 4058783794. The mailing address for Wallace Roy Pratt is 3315 Kethley Rd, Shawnee, Oklahoma. To know further, please read the information below!

Provider Profile Detail

Provider Name Wallace Roy Pratt
Address 3315 Kethley Rd, Shawnee, Oklahoma
Phone Number 4052735801
Fax Number 4058783794
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1831146851
Provider Enumeration Date 2006-05-27
Last Updated Date 2016-11-11

Provider Mailing Address Detail

Address 3315 Kethley Rd
City Shawnee
State Oklahoma (OK)
Post Code 748049638
Phone Number 4052735801
Fax Number 4058783794

Provider's Primary Taxonomy Detail

Speciality Allergy & Immunology
Taxonomy 207K00000X
Licence No 18812
Definition:
An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
100206950A OK --

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FAQs about Wallace Roy Pratt

What is the unique provider identifier assigned to Wallace Roy Pratt?

The Wallace Roy Pratt has been issued the NPI (National Provider Identifier) 1831146851 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete address where Wallace Roy Pratt is physically located?

The Wallace Roy Pratt is situated at the following address: 3315 Kethley Rd, Shawnee, OK 748049638.

What is Wallace Roy Pratt's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Wallace Roy Pratt is Allergy & Immunology, and the taxonomy code that categorizes this field of expertise is 207K00000X.

When did Wallace Roy Pratt receive its 1831146851 assignment?

The Wallace Roy Pratt was assigned its 1831146851 on 2006-05-27, which is the date when this unique identifier was issued to the organization.

When was the information regarding Wallace Roy Pratt, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Wallace Roy Pratt, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2016-11-11.

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