Mark Pruitt, D.O.
NPI #1124432943 in Bonners Ferry, Idaho
Provider Information
- NPI Number
- 1124432943
- Entity Type
- Individual
- Name
- Mark Pruitt, D.O.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Emergency Medicine
- Credential
- D.O.
- Enumeration Date
- Jun 19, 2014
- Last Updated
- Jun 25, 2019
Practice Location
- Address
- 6640 KANIKSU ST
- City
- Bonners Ferry
- State
- Idaho
- ZIP Code
- 83805
- Phone
- (208) 267-3141
Specialties & Taxonomy Codes
| Specialty |
|---|
| Emergency Medicine |
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