Individual
MR. RANDOLPH N. TRUITT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1400 BLACKHORSE HILL RD, COATESVILLE V.A. MEDICAL CENTER, COATESVILLE, PA 19320-2040
(610) 384-7711
(610) 380-4318
Mailing address
1400 BLACKHORSE HILL RD, COATESVILLE V.A. MEDICAL CENTER, COATESVILLE, PA 19320-2040
(610) 384-7711
(610) 380-4318
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA000207L
PA
Other
Enumeration date
08/30/2006
Last updated
07/23/2010
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