Doctor Name: | DR. DAVID EDWIN PRUITT |
NPI Number: | 1750397782 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D., |
License Number: | E3086 |
Business Practice Address: | 1455 Higdon Ferry Rd Hot Springs, AR - 719136419 |
Business Phone Number: | 5016222100 |
Business Fax Number: | 5016222214 |
Mailing Address: | Po Box 22148, HOT SPRINGS |
State: | AR |
Postal Code: | 719032148 |
Phone Number: | 5016221913 |
Fax Number: | 5016224676 |
NPI Enumeration Date: | 07/31/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | E3086 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |