Individual
JAMES C PRUITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
75 S PAGOSA BLVD, PAGOSA SPRINGS, CO 81147-7910
(970) 431-4131
Mailing address
PO BOX 7638, LOVELAND, CO 80537-0638
(970) 749-2755
(970) 259-2431
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
22652
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01226521
—
CO
01
—
6003610001
PALMETTO DME
—
01
—
NM01Y342
NM BCBS
NM
01
—
PRP07018
BCBS
CO
Enumeration date
07/08/2006
Last updated
03/09/2016
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