IndividualActive
Wallace Pratt, MD
NPI 1831146851 · Allergy & Immunology Physician · Shawnee, OK
Provider details
- NPI number
- 1831146851
- Entity type
- Individual
- Primary specialty
- Allergy & Immunology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 18812 (OK)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
3315 Kethley Rd
Shawnee, OK 74804-9638
Phone: (405) 273-5801
Fax: (405) 878-3794
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 258884
Oklahoma City, OK 73125-8884
Registry dates
- Enumerated
- 2006-05-27
- Last updated
- 2016-11-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.