Individual
DONALD L. PRUITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12855 NORTH FORTY DRIVE, SUITE 125, ST LOUIS, MO 63141
(314) 966-0111
(314) 966-1023
Mailing address
12813 FLUSHING MEADOWS DRIVE, SUITE 210, ST. LOUIS, MO 63131
(314) 966-0111
(314) 966-1023
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
R5H33
MO
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
R5H33
MO
Other
Enumeration date
09/20/2005
Last updated
10/21/2011
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