Organization
SPENCER IMAGING CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDER PRUITT MD (MEDICAL DOCTOR)
(712) 260-7513
Entity
Organization
Contact information
Practice address
710 S. GRAND AVE, SPENCER, IA 51301
(712) 580-5074
(712) 580-5076
Mailing address
710 S. GRAND AVE, SPENCER, IA 51301-5730
(712) 580-5074
(712) 580-5076
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
09/08/2022
Last updated
01/16/2023
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