Individual
CHARLES ALLAN PRATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3340 PROVIDENCE DR, SUITE 567, ANCHORAGE, AK 99508-4616
(907) 276-5517
(907) 279-3655
Mailing address
3340 PROVIDENCE DR, SUITE 567, ANCHORAGE, AK 99508-4616
(907) 276-5517
(907) 279-3655
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
4882
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MD22761
—
AK
Enumeration date
02/28/2007
Last updated
07/09/2007
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