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NPI 1164565131

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

More AZ providers

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.

Randall Pruitt, DC — NPI 1164565131, Phoenix, AZ | NPI Central