Individual
DR. BENJAMIN JAMES PRUETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1510 E HERNDON AVE STE 110, FRESNO, CA 93720-3333
(559) 436-4737
(559) 436-4738
Mailing address
1510 E HERNDON AVE STE 110, FRESNO, CA 93720-3333
(559) 272-2934
(559) 485-6994
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
5101018915
MI
2085R0204X
Vascular & Interventional Radiology Physician
Primary
20A14838
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
VA
Other
Enumeration date
06/30/2010
Last updated
05/05/2024
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