Individual
RANDALL C PRUITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
4530 E RAY RD, #150, PHOENIX, AZ 85044-6094
(480) 503-3344
(480) 763-0417
Mailing address
10327 E MARK LN, SCOTTSDALE, AZ 85262-8909
Taxonomy
Speciality
Code
Description
License number
State
111NN0400X
Neurology Chiropractor
Primary
5660
AZ
Other
Enumeration date
02/15/2007
Last updated
07/08/2007
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