Randall C Pruitt, DC Valid NPI
Individual provider · Neurology Chiropractor · Phoenix, AZ
- NPI
- 1164565131
- Type
- Individual (Type 1)
- Primary specialty
- Neurology Chiropractor (Chiropractor)
- Specialty group
- Chiropractic Providers
- Taxonomy code
- 111NN0400X
- License number
- 5660 (AZ)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2007-02-15
- Last updated
- 2007-07-08
Practice location
4530 E Ray Rd, #150
Phoenix, AZ 85044-6094
(480) 503-3344