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Individual

DR. ROBERT M PRUITT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
10600 MASTIN ST, OVERLAND PARK, KS 66212-5723
(913) 469-6447
(913) 338-1311
Mailing address
PO BOX 741331, ATLANTA, GA 30374-1331
(913) 469-0503
(913) 469-5267

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0425047
KS

Other

Enumeration date
10/03/2005
Last updated
12/31/2012
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