Andrew L Pruitt in Boulder - Physician Assistant

Andrew L Pruitt - NPI 1194707745

Andrew L Pruitt is a Physician Assistant in Boulder, Colorado. Andrew L Pruitt practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Andrew L Pruitt is 1194707745. The last update date is 2013-01-23.

Andrew L Pruitt's current location address is 345 Maxwell Ave, Boulder, Colorado. You can contact this provider via phone number 3035445783 and fax number 3034412388. The mailing address for Andrew L Pruitt is 345 Maxwell Ave, Boulder, Colorado. To know further, please read the information below!

Provider Profile Detail

Provider Name Andrew L Pruitt
Address 345 Maxwell Ave, Boulder, Colorado
Phone Number 3035445783
Fax Number 3034412388
Sole Proprietor N
Credentials P.A.

NPI Number Detail

NPI Number 1194707745
Provider Enumeration Date 2005-11-18
Last Updated Date 2013-01-23

Provider Mailing Address Detail

Address 345 Maxwell Ave
City Boulder
State Colorado (CO)
Post Code 803043972
Phone Number 3035445783
Fax Number 3034412388

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 178
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
7178007 CO --

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FAQs about Andrew L Pruitt

What is the unique provider identifier assigned to Andrew L Pruitt?

The Andrew L Pruitt has been issued the NPI (National Provider Identifier) 1194707745 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

What is the unique 10-digit identification code issued to Andrew L Pruitt by the Centers for Medicare & Medicaid Services?

The Andrew L Pruitt has been assigned the NPI (National Provider Identifier) 1194707745 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical address where Andrew L Pruitt is geographically located?

The Andrew L Pruitt is physically situated at the following location: 345 Maxwell Ave, Boulder, CO, 803043972.

When did Andrew L Pruitt receive its 1194707745 assignment?

The Andrew L Pruitt was assigned its 1194707745 on 2005-11-18, which is the date when this unique identifier was issued to the organization.

As of what date were the details pertaining to Andrew L Pruitt last refreshed?

The information related to the Andrew L Pruitt, including its address, specialty, and other relevant details, was last updated on 2013-01-23.

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