Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DONALD L. PRUITT, MD
ActiveDONALD L. PRUITT, MD is a Orthopaedic Surgery of the Spine healthcare provider located in ST LOUIS, Missouri. NPI 1659366284 is currently active in the NPPES registry. Verify at CMS.
Orthopaedic Surgery of the Spine · ST LOUIS, MO
Registration Details
- NPI Number
- 1659366284
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 20, 2005 (20.944855822411 yrs)
- Last Updated
- Oct 21, 2011
- Licenses
-
R5H33 (MO)R5H33 (MO)
Practice Information
- Address
-
12855 NORTH FORTY DRIVESUITE 125ST LOUIS, MO, 63141Browse MO providers · Browse ZIP 63141
- Phone
- 3149660111
- Fax
- 3149661023
- Primary Specialty
-
Orthopaedic Surgery of the Spine
207XS0106X
- Additional Specialty
- Orthopaedic Surgery of the Spine
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.