DR. ROGER PRUITT, D.O.

Pediatrics

Active Individual
NPI: 1932104353

Practice Address

180 JOE WIMBERLEY BLVD
STE 102
Wimberley, TX 78676

Phone: (512) 847-7700

Specialties

Specialty Code Primary License
Pediatrics - Adolescent Medicine 2080A0000X No L1706 (TX)
Pediatrics 208000000X Yes L1706 (TX)

Frequently Asked Questions

NPI 1932104353 is the National Provider Identifier for DR. ROGER PRUITT, D.O., a Pediatrics provider located in Wimberley, TX. This NPI was enumerated on June 14, 2005.
DR. ROGER PRUITT, D.O. practices at 180 JOE WIMBERLEY BLVD, STE 102, Wimberley, TX 78676.

Quick Facts

NPI
1932104353
Type
Individual
Enumerated
Jun 14, 2005
Last Updated
Feb 9, 2022

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