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Individual

DR. DAVID E. PRUETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
401 THOMAS RD STE 1, WEST MONROE, LA 71292-7903
(318) 325-5435
(318) 325-5495
Mailing address
401 THOMAS RD STE 1, WEST MONROE, LA 71292-7903
(318) 325-5435
(318) 325-5495

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
T-1940
MS
207RN0300X
Nephrology Physician
20439
MS
207RN0300X
Nephrology Physician
Primary
MD.204452
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2152203
LA
Enumeration date
05/24/2007
Last updated
06/03/2024
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