IndividualActive
Randall Pruitt, DC
NPI 1164565131 · Neurology Chiropractor · Phoenix, AZ
Provider details
- NPI number
- 1164565131
- Entity type
- Individual
- Primary specialty
- Neurology ChiropractorChiropractic Providers
- Credential
- DC
- Sex
- Male
- Sole proprietor
- No
- License
- 5660 (AZ)
Practice location
4530 E Ray Rd
#150
Phoenix, AZ 85044-6094
Phone: (480) 503-3344
Fax: (480) 763-0417
Mailing address
10327 E Mark Ln
Scottsdale, AZ 85262-8909
Registry dates
- Enumerated
- 2007-02-15
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.