Charles W. Pruitt in Salt Lake City - Pediatric Emergency Medicine
Charles W. Pruitt - NPI 1962583757
Charles W. Pruitt is a Pediatric Emergency Medicine in Salt Lake City, Utah. Charles W. Pruitt practices all healthcare services and medical treatments related to Pediatric Emergency Medicine. The NPI Number for Charles W. Pruitt is 1962583757. The last update date is 2021-12-01.
Charles W. Pruitt's current location address is 100 N Medical Dr, Salt Lake City, Utah. You can contact this provider via phone number 8016621000. The mailing address for Charles W. Pruitt is 100 N Medical Dr, Salt Lake City, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charles W. Pruitt |
|---|---|
| Address | 100 N Medical Dr, Salt Lake City, Utah |
| Phone Number | 8016621000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1962583757 |
|---|---|
| Provider Enumeration Date | 2006-10-18 |
| Last Updated Date | 2021-12-01 |
Provider Mailing Address Detail
| Address | 100 N Medical Dr |
|---|---|
| City | Salt Lake City |
| State | Utah (UT) |
| Post Code | 841131103 |
| Phone Number | 8016621000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Emergency Medicine |
|---|---|
| Taxonomy | 2080P0204X |
| Licence No | 6079976-1205 |
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Definition: A pediatrician who has special qualifications to manage emergencies in infants and children. |
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Post Comment/ Review Below
What is the unique identification code assigned to Charles W. Pruitt by the Centers for Medicare & Medicaid Services?
The Charles W. Pruitt has been issued the NPI (National Provider Identifier) 1962583757. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Charles W. Pruitt?
The Charles W. Pruitt is situated at 100 N Medical Dr, in the city of Salt Lake City, state of UT, with the zip code 841131103.
What is the area of specialization for Charles W. Pruitt, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Charles W. Pruitt is Pediatric Emergency Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 2080P0204X.
On what date did the Centers for Medicare & Medicaid Services assign the 1962583757 to Charles W. Pruitt?
The Centers for Medicare & Medicaid Services assigned the 1962583757 to Charles W. Pruitt on 2006-10-18.
When was the Charles W. Pruitt's information last updated?
The Charles W. Pruitt's information was last updated on 2021-12-01.
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