Individual
DR. ADAM J PRUETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4384 MAIN STREET, MANCHESTER, VT 05254-8945
(802) 768-9136
(802) 662-2173
Mailing address
PO BOX 255, MANCHESTER, VT 05254-0255
(802) 768-9136
(802) 662-2173
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
042.0013999
VT
2084P0800X
Psychiatry Physician
059863
GA
2084P0800X
Psychiatry Physician
28584
AL
Other
Enumeration date
12/26/2007
Last updated
06/06/2023
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