Individual
JOHN SAMUEL TRUITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
405 W COUNTRY CLUB RD, ROSWELL, NM 88201-5209
(575) 624-8738
(575) 624-8758
Mailing address
9787 TURKEY TRACK, HEREFORD, AZ 85615
(520) 378-4029
(520) 458-1001
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
21749
AZ
2085R0001X
Radiation Oncology Physician
Primary
86-136
NM
2085R0001X
Radiation Oncology Physician
J5501
TX
Other
Enumeration date
06/24/2006
Last updated
08/17/2016
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