Individual
KRISTIN GRAZINA PRUNSKIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
516 E NIZHONI BLVD, GALLUP, NM 87301-5748
(505) 722-1000
Mailing address
7259 S BINGHAM JUNCTION BLVD, MIDVALE, UT 84047-4860
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD2025-0530
NM
Other
Enumeration date
04/06/2022
Last updated
09/30/2025
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