Individual
DAVID B PRUITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
701 W PRATT ST, 4TH FLOOR, BALTIMORE, MD 21201-1023
(410) 328-5881
(410) 328-5882
Mailing address
PO BOX 64515, BALTIMORE, MD 21264-4515
(410) 328-5881
(717) 428-0518
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
D0055948
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
135500700
—
MD
Enumeration date
07/28/2006
Last updated
05/27/2015
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