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Search › Idaho › 207P00000X

Mark Pruitt, D.O

NPI 1124432943 · on the registry since 2014

Practice

Address
6640 Kaniksu St
Bonners Ferry, ID 83805
Phone
(208) 267-3141
Organisation at this address
Diehl Internal Medicine
Boundary Community Hospital
Boundary Community Hospital
Boundary Community Hospital
Boundary Community Hospital
Inferred from a shared address, not stated in the registry.
Clinicians at this address
16

Additional practice sites

  • 714 W Pine St, Newport, WA

Registry record

Primary taxonomy
207P00000X
207P00000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-06-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho