Individual
MR. MATTHEW H PRUITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C
Contact information
Practice address
1 MEDICAL PARK DR, BENTON, AR 72015-3353
(501) 776-6000
Mailing address
27 LARIAT CT, LITTLE ROCK, AR 72211-4142
(407) 625-4547
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/25/2016
Last updated
01/25/2016
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