Individual
DR. STEPHEN MARK PRUNI III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
3026 N WOOSTER AVE, DOVER, OH 44622-9469
(330) 364-4400
(330) 364-1407
Mailing address
3026 N WOOSTER AVE, DOVER, OH 44622-9469
(330) 364-4400
(330) 364-1407
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1413
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0813294
—
OH
Enumeration date
07/12/2006
Last updated
07/08/2007
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