CHARLES W. PRUITT

SALT LAKE CITY, UT
NPI1962583757
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2080P0204X Pediatrics, Pediatric Emergency Medicine
(Licence: UT  6079976-1205)
Enumeration Date2006-10-18
Last Update Date2021-12-01
Business Address
CHARLES W. PRUITT MD
100 N MEDICAL DR
SALT LAKE CITY, UT 84113-1103
Phone number: 801-662-1000
Mailing Address
CHARLES W. PRUITT MD
PO BOX 581100
SALT LAKE CITY, UT 84158-1100
Phone number: 801-213-3800
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