# ORTHOPAEDICS, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477639235
- **Authorized official:** ALEXANDER PRUITT MD (PRESIDENT)
- **Authorized official phone:** (712) 580-2022

## Contact information

- **Practice address:** 20 W 6TH ST, SPENCER, IA 51301-3901
- **Practice address phone:** (712) 580-2022
- **Practice address fax:** (712) 580-2024
- **Mailing address:** 20 W 6TH ST, SPENCER, IA 51301-3901
- **Mailing address phone:** (712) 580-2022
- **Mailing address fax:** (712) 580-2024

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | 29040 | IA | Yes |

## Other

- **Enumeration date:** 10/27/2006
- **Last updated:** 11/06/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0481754 | — | IA |
| 01 | — | 1477639235 | DMERC REGION D NPI | IA |
| 01 | — | 1861463473 | CLINIC NPI | — |