Organization
ORTHOPAEDICS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEXANDER PRUITT MD (PRESIDENT)
(712) 580-2022
Entity
Organization
Contact information
Practice address
20 WEST 6TH ST, SUITE 1, SPENCER, IA 51301
(712) 580-2022
(712) 580-2024
Mailing address
20 WEST 6TH ST, SUITE 1, SPENCER, IA 51301
(712) 580-2022
(712) 580-2024
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
5151790001
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0180034
US DEPT OF LABOR & INDUST
—
05
—
0481754
—
IA
01
—
104435
HEALTH PARTNERS
—
01
—
204803800
US DEPT OF LABOR (ACS)
—
01
—
71119
WELLMARK SELECT
IA
01
—
DE0140
RAILROAD MEDICARE
IA
Enumeration date
01/31/2006
Last updated
06/26/2015
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