Individual
ADAM PRUETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RDN
Contact information
Practice address
5900 BOND AVE, EAST SAINT LOUIS, IL 62207-2326
(618) 332-5458
Mailing address
5116 EAGLE WING CT, EUREKA, MO 63025-4043
(636) 584-9153
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164.007263
IL
133V00000X
Registered Dietitian
2008029468
MO
Other
Enumeration date
04/04/2018
Last updated
04/04/2018
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