Individual
CHRISTOPHER PRUITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1300 VENTURE WAY STE 206, CASPER, WY 82609-4353
(307) 268-9904
Mailing address
1300 VENTURE WAY STE 206, CASPER, WY 82609-4353
(307) 268-9904
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA1408
WY
363AM0700X
Medical Physician Assistant
Primary
PT1408
WY
Other
Enumeration date
08/14/2024
Last updated
02/10/2026
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