Provider Demographics
NPI:1932366713
Name:PRATT, MARSHA C (MD)
Entity Type:Individual
Prefix:DR
First Name:MARSHA
Middle Name:C
Last Name:PRATT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MARSHA
Other - Middle Name:C
Other - Last Name:HOPPES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4300 MCAULEY BLVD
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73120-8302
Mailing Address - Country:US
Mailing Address - Phone:405-936-5455
Mailing Address - Fax:405-936-5629
Practice Address - Street 1:4300 MCAULEY BLVD
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73120-8302
Practice Address - Country:US
Practice Address - Phone:405-936-5455
Practice Address - Fax:405-936-5629
Is Sole Proprietor?:No
Enumeration Date:2008-05-20
Last Update Date:2016-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK12476207SG0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207SG0201XAllopathic & Osteopathic PhysiciansMedical GeneticsClinical Genetics (M.D.)