Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BILLY D PRUETT, M.D.
Active Sole ProprietorDR. BILLY D PRUETT, M.D. is a 2083A0100X healthcare provider located in JBPH-HICKAM, Hawaii. NPI 1306947742 is currently active in the NPPES registry. Verify at CMS.
2083A0100X · JBPH-HICKAM, HI
Registration Details
- NPI Number
- 1306947742
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 26, 2006 (19.855252370526 yrs)
- Last Updated
- Aug 2, 2023
- Licenses
-
MD36551 (TN)MD36551 (TN)MD36551 (TN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
15TH MDG755 SCOTT CIRCLEJBPH-HICKAM, HI, 96853Browse HI providers · Browse ZIP 96853
- Phone
- 8084486371
- Primary Specialty
-
2083A0100X
2083A0100X
- Additional Specialty
- Family Medicine
- Additional Specialty
- 2083A0100X
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.