Individual
MR. BRIAN CASEY PRUETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
1 BOONE RD, BREMERTON, WA 98312-1894
(360) 475-4236
Mailing address
1 BOONE RD, BREMERTON, WA 98312-1894
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
—
—
Other
Enumeration date
03/07/2008
Last updated
03/07/2008
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