Individual
CHRISTOPHER R PRUITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2020 NORTH CENTRAL AVENUE, SUITE 1010, PHOENIX, AZ 85004
(602) 553-8400
(602) 553-8408
Mailing address
2020 NORTH CENTRAL AVENUE, SUITE 1010, PHOENIX, AZ 85004
(602) 553-8400
(602) 553-8408
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
32867
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
92039913
—
AZ
Enumeration date
07/25/2006
Last updated
12/17/2007
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