Individual
JOSEPH EDWARD PRUITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
6151 S YALE AVE STE 100A, TULSA, OK 74136-1929
(918) 494-8500
Mailing address
6600 S YALE AVE STE 1400, TULSA, OK 74136-3331
(888) 247-0125
(918) 502-8210
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1274
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200005750A
—
OK
Enumeration date
01/27/2006
Last updated
09/01/2023
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