Individual
DR. WILLIAM J PRUNTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
3710 SW US VETERANS HOSPITAL RD, PORTLAND, OR 97239-2964
(503) 220-8262
Mailing address
14597 SW 81ST AVE, TIGARD, OR 97224-7355
(281) 703-4722
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
06478T
TX
152W00000X
Optometrist
Primary
3825
FL
Other
Enumeration date
08/30/2006
Last updated
04/30/2013
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