Individual
RACHEL PRUETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 N OAKLAND AVE, BOLIVAR, MO 65613-3099
(471) 326-6000
Mailing address
633 E LINDON ST, BOLIVAR, MO 65613-1231
(870) 715-9853
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2024023331
MO
Other
Enumeration date
03/20/2019
Last updated
06/11/2025
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