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Individual

DR. JOSEPH ALLAN PRUITT

Active
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Individual

DR. JOSEPH ALLAN PRUITT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
13429
CA
152W00000X
Optometrist
Primary
2022-968AT
LA
152W00000X
Optometrist
2092
KY
152W00000X
Optometrist
2753
TN
152W00000X
Optometrist
3004
OK
152W00000X
Optometrist
3130
MN
152W00000X
Optometrist
OEG004053
PA
152W00000X
Optometrist
OPT.0003894
CO
152W00000X
Optometrist
OPT002454
GA
152W00000X
Optometrist
TA2933
MD
152W00000X
Optometrist
TPOP155
FL

Other

Enumeration date
07/14/2007
Last updated
10/15/2024
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