Individual
CHRISTINE M PRATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
13965 N. 75TH AVENUE, PEORIA, AZ 85381-6097
(602) 843-2991
(608) 978-1226
Mailing address
13965 N. 75TH AVENUE, PEORIA, AZ 85381-6097
(602) 843-2991
(608) 978-1226
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
2176
AZ
363A00000X
Physician Assistant
PAC0542
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
71398
—
ND
Enumeration date
09/28/2006
Last updated
07/02/2019
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