CHARLES PRUITT, MD
Pediatrics - Pediatric Emergency Medicine
Active
Individual
NPI: 1962583757
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Pediatrics - Pediatric Emergency Medicine | 2080P0204X | Yes | 6079976-1205 (UT) |
Frequently Asked Questions
NPI 1962583757 is the National Provider Identifier for CHARLES PRUITT, MD, a Pediatrics - Pediatric Emergency Medicine provider located in Salt Lake City, UT. This NPI was enumerated on October 18, 2006.
CHARLES PRUITT, MD practices at 100 N MEDICAL DR, Salt Lake City, UT 84113.
Quick Facts
- NPI
- 1962583757
- Type
- Individual
- Enumerated
- Oct 18, 2006
- Last Updated
- Dec 1, 2021
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