Individual
MR. DANIEL TIMOTHY PRUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
115 S PARKSIDE DR, COLORADO SPRINGS, CO 80910-3130
(719) 562-6100
(719) 447-4792
Mailing address
220 RUSKIN DR, COLORADO SPRINGS, CO 80910-2522
(719) 572-6100
(719) 447-4792
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0199442
CO
163W00000X
Registered Nurse
041.418247
IL
Other
Enumeration date
12/16/2014
Last updated
12/16/2014
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