JAMES C PRUITT III

UPPER SAN JUAN HEALTH SERVICE DISTRICT

Dr JAMES C PRUITT III is a male medical professional, specializing in Family Medicine. He graduated in 1976 from Medical College Of Georgia.

Contact

UPPER SAN JUAN HEALTH SERVICE DISTRICT

95 S PAGOSA BLVD
PAGOSA SPRINGS
CO
811478329

Tel: 9707313700

JAMES C PRUITT III Information

Npi 1588697361
Pac Id 3476467077
Professional Enrollment Id I20070914000016
Last Name PRUITT
First Name JAMES
Middle Name C
Suffix III
Gender M
Credential
Medical School Name MEDICAL COLLEGE OF GEORGIA
Graduation Year 1976
Primary Specialty FAMILY MEDICINE
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name UPPER SAN JUAN HEALTH SERVICE DISTRICT
Group Practice Pac Id 2769571892
Number Of Group Practice Members 12
Line 1 Street Address 95 S PAGOSA BLVD
Line 2 Street Address
Marker Of Address Line 2 Suppression
City PAGOSA SPRINGS
State CO
Zip Code 811478329
Phone Number 9707313700
Hospital Affiliation Ccn 1 061328
Hospital Affiliation Lbn 1 UPPER SAN JUAN HEALTH SERVICE DISTRICT
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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