Richard T Pruiksma, MD

NPI #1053357491 in Siloam Springs, Arkansas

Provider Information

NPI Number: 1053357491
Entity Type: Individual
Name: Richard T Pruiksma, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Jun 22, 2006
Last Updated: Jul 14, 2014

Practice Location

Address: 500 S MOUNT OLIVE ST
Address 2: SUITE 200
City: Siloam Springs
State: Arkansas
ZIP Code: 72761-3602
Phone: (479) 524-9550

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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