Andrew L Pruitt, P.A.

NPI #1194707745 in Boulder, Colorado

Provider Information

NPI Number: 1194707745
Entity Type: Individual
Name: Andrew L Pruitt, P.A.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: P.A.
Enumeration Date: Nov 18, 2005
Last Updated: Jan 23, 2013

Practice Location

Address: 311 MAPLETON AVE
City: Boulder
State: Colorado
ZIP Code: 80304-3979
Phone: (303) 544-5700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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