Individual
DR. JAMES ALLEN PRUITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
501 HOWARD AVE, F2, ALTOONA, PA 16601-4810
(480) 825-1256
Mailing address
501 HOWARD AVE, F2, ALTOONA, PA 16601-4810
(480) 825-1256
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
45685
AZ
207P00000X
Emergency Medicine Physician
45685
AZ
207P00000X
Emergency Medicine Physician
Primary
ME142076
FL
207Q00000X
Family Medicine Physician
ME142076
FL
207Q00000X
Family Medicine Physician
MT209273
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207Q00000X
—
PA
Enumeration date
06/29/2010
Last updated
05/18/2020
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