Individual
DR. DANIELLE PRUNTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8300 W 38TH AVE, WHEAT RIDGE, CO 80033-6005
(303) 425-2087
Mailing address
3156 DAYTON ST, DENVER, CO 80238-2933
(720) 934-1552
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD2013-0757
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
24037389
—
CO
01
—
P00281206
RR MEDICARE
—
Enumeration date
08/15/2006
Last updated
09/22/2022
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