Individual
CALEB LAWRENCE PRUITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1008 N MAIN ST, SIKESTON, MO 63801-5044
(573) 380-2407
Mailing address
614 THORNWOOD AVE, SIKESTON, MO 63801-4687
(573) 380-2407
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
2018027462
MO
Other
Enumeration date
10/26/2021
Last updated
12/18/2025
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