Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK PRUITT, D.O.
ActiveMARK PRUITT, D.O. is a Emergency Medicine healthcare provider located in BONNERS FERRY, Idaho. NPI 1124432943 is currently active in the NPPES registry. Verify at CMS.
Emergency Medicine · BONNERS FERRY, ID
Registration Details
- NPI Number
- 1124432943
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 19, 2014 (12.129225259816 yrs)
- Last Updated
- Jun 25, 2019
- License
-
O-1105 (ID)
Practice Information
- Address
-
6640 KANIKSU STBONNERS FERRY, ID, 83805Browse ID providers · Browse ZIP 83805
- Phone
- 2082673141
- Primary Specialty
-
Emergency Medicine
207P00000X
Other Emergency Medicine Providers in BONNERS FERRY, ID
| Name | Credential | NPI |
|---|---|---|
| WILLIAM LAMONT WORDEN | MD | 1356326805 |
| DR. KENTON BING-HOCK GOH | MD | 1972547172 |
| ROBERT YOST | MD | 1265466361 |
| STUART KENDALL WILLIS III | MD | 1679649396 |
| MATTHEW WALLACE JOHNSON | DO | 1225539182 |
| DR. JACKSON JOSEPH BELL | DO | 1396208070 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.