Individual
PETER B PRUETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2550 S PARKER RD, STE 206, AURORA, CO 80014-1622
(303) 306-7783
(303) 306-7753
Mailing address
2550 S PARKER RD, STE 206, AURORA, CO 80014-1622
(303) 306-7783
(303) 306-7753
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
29651
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01296516
—
CO
01
—
840428757014
RMHD
—
01
—
DE82504
BCBS
—
Enumeration date
12/27/2005
Last updated
05/21/2008
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