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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

STEVEN J PRUEITT, DO

Active

STEVEN J PRUEITT, DO is a Family Medicine healthcare provider located in VANDENBERG SPACE FORCE BASE, California. NPI 1386278455 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · VANDENBERG SPACE FORCE BASE, CA

Registration Details

NPI Number
1386278455
Provider Type
Individual
Gender
Male
NPI Issued
Feb 27, 2020 (6.4632749390709 yrs)
Last Updated
Sep 15, 2024
License
2514 (NE)

Practice Information

Address
30TH MEDICAL GROUP, 338 SOUTH DAKOTA
BUILDING 13850
VANDENBERG SPACE FORCE BASE, CA, 934375300
Browse CA providers · Browse ZIP 93437
Phone
8056061721
Primary Specialty
Family Medicine
207Q00000X
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.