| Anthony Gene Pruitt, MD | |
|
5991 S 3500 W, Roy, UT 84067 | |
| (801) 773-8644 | |
| (801) 985-0486 |
| Full Name | Anthony Gene Pruitt |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 5991 S 3500 W, Roy, Utah |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700884848 | NPI | - | NPPES |
| 061506129008 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 5755419-1205 (Utah) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Anthony Gene Pruitt, MD 2086 N 1700 W, Suite C, Layton, UT 84041 Ph: (801) 773-8644 | Anthony Gene Pruitt, MD 5991 S 3500 W, Roy, UT 84067 Ph: (801) 773-8644 |
John G Allred, DO Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 3485 W 5200 S, Roy, UT 84067 Phone: 801-475-3900 Fax: 801-475-3901 | |
Daniel Neumann, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 5682 S 3500 W, Roy, UT 84067 Phone: 801-773-8644 |