Individual
DR. THOMAS CARL PRUETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2300 ROSE LN, RIVERTON, WY 82501-2257
(307) 857-1211
Mailing address
534 N FORK RD, LANDER, WY 82520-9108
(307) 332-2434
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
WY 2930A
WY
Other
Enumeration date
08/30/2006
Last updated
07/08/2007
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