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1023475878
MATTHEW H PRUITT
BENTON, AR
NPI
1023475878
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Other Name
MATT PRUITT
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2016-01-25
Last Update Date
2016-01-25
Business Address
Mr. MATTHEW H PRUITT P.A.-C
1 MEDICAL PARK DR
BENTON, AR 72015-3353
Phone number: 501-776-6000
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Mailing Address
Mr. MATTHEW H PRUITT P.A.-C
27 LARIAT CT
LITTLE ROCK, AR 72211-4142
Phone number: 407-625-4547
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