Preston Alltizer

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · McAlester, OK

NPI 1508704289 · NPPES record last updated Apr 9, 2026

Key facts

NPI
1508704289
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
1 E Clark Bass Blvd
McAlester, OK 74501-4209
Phone
(918) 426-1800
NPI assigned
Mar 23, 2026
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X OK Yes

Addresses

Primary practice location

1 E Clark Bass Blvd
McAlester, OK 74501-4209

Mailing address

1 E Clark Bass Blvd
McAlester, OK 74501-4209

Other providers in McAlester, OK

All providers in McAlester, OK · Student in an Organized Health Care Education/Training Program in Oklahoma

Sources for this page

Verify at the official NPI Registry.