WALLACE ROY PRATT

SHAWNEE, OK
NPI1831146851
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207K00000X Allergy & Immunology
(Licence: OK  18812)
Enumeration Date2006-05-27
Last Update Date2016-11-11
Business Address
Dr. WALLACE ROY PRATT MD
3315 KETHLEY RD
SHAWNEE, OK 74804-9638
Phone number: 405-273-5801
Mailing Address
Dr. WALLACE ROY PRATT MD
PO BOX 258884
OKLAHOMA CITY, OK 73125-8884
Phone number: 405-231-3857