Individual
MEREDITH PRUITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
13921 N MERIDIAN AVE STE 100, OKLAHOMA CITY, OK 73134-1106
(405) 752-9600
(405) 752-9650
Mailing address
13921 N MERIDIAN AVE STE 100, OKLAHOMA CITY, OK 73134-1106
(405) 752-9600
(405) 752-9650
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1869
OK
Other
Enumeration date
02/27/2010
Last updated
04/29/2022
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