Individual
DR. ANTHONY G. PRUETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3131 NORTH I-10 SERV RD EAST, SUITE 308, METAIRIE, LA 70002
(504) 833-7770
(504) 833-7782
Mailing address
3131 NORTH I-10 SERV RD EAST, SUITE 308, METAIRIE, LA 70002
(504) 833-7770
(504) 833-7782
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
199910
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1057220
—
LA
Enumeration date
08/15/2006
Last updated
07/08/2007
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