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Individual

JOSEPH PRUITT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1216 PRESERVE CIR, GOLDEN, CO 80401-7047
(720) 746-1846
(720) 746-1848
Mailing address
1216 PRESERVE CIR, GOLDEN, CO 80401-7047
(720) 746-1846
(720) 746-1848

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
31965
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01319656
CO
Enumeration date
08/03/2006
Last updated
11/30/2009
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