Randall C Pruitt in Phoenix - Neurology

Randall C Pruitt - NPI 1164565131

Randall C Pruitt is a Neurology in Phoenix, Arizona. Randall C Pruitt practices all healthcare services and medical treatments related to Neurology. The NPI Number for Randall C Pruitt is 1164565131. The last update date is 2007-07-08.

Randall C Pruitt's current location address is 4530 E Ray Rd, Phoenix, Arizona. You can contact this provider via phone number 4805033344 and fax number 4807630417. The mailing address for Randall C Pruitt is 4530 E Ray Rd, Phoenix, Arizona. To know further, please read the information below!

Provider Profile Detail

Provider Name Randall C Pruitt
Address 4530 E Ray Rd, Phoenix, Arizona
Phone Number 4805033344
Fax Number 4807630417
Sole Proprietor N
Credentials DC

NPI Number Detail

NPI Number 1164565131
Provider Enumeration Date 2007-02-15
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 4530 E Ray Rd
City Phoenix
State Arizona (AZ)
Post Code 850446094
Phone Number 4805033344
Fax Number 4807630417

Provider's Primary Taxonomy Detail

Speciality Neurology
Taxonomy 111Nn0400X
Licence No 5660
Definition:
Chiropractic Neurology is defined as the field of functional neurology that engages the internal - and external environment of the individual in a structured and targeted approach to affect positive changes in the nervous system and consequently the

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FAQs about Randall C Pruitt

What is the unique identifier code issued to Randall C Pruitt by the Centers for Medicare & Medicaid Services (CMS)?

The Randall C Pruitt has been assigned the NPI (National Provider Identifier) 1164565131. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete physical location address of Randall C Pruitt?

The Randall C Pruitt is physically situated at 4530 E Ray Rd, in the city of Phoenix, state of AZ, with the postal code 850446094.

What is Randall C Pruitt's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Randall C Pruitt's specialized field of practice is Neurology, and the corresponding taxonomy code that categorizes this area of specialization is 111Nn0400X.

On what date did the Randall C Pruitt receive its 1164565131 assignment from the Centers for Medicare & Medicaid Services?

The Randall C Pruitt was assigned its 1164565131 by the Centers for Medicare & Medicaid Services on 2007-02-15.

As of what date was the information regarding Randall C Pruitt, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Randall C Pruitt, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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