IndividualActive
Benjamin Pruett, D.O.
NPI 1194036624 · Vascular & Interventional Radiology Physician · Fresno, CA
Provider details
- NPI number
- 1194036624
- Entity type
- Individual
- Primary specialty
- Vascular & Interventional Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- License
- 5101018915 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Student, Health Care
Practice location
1510 E Herndon Ave Ste 110
Fresno, CA 93720-3333
Phone: (559) 436-4737
Fax: (559) 436-4738
Approximate (ZIP-level) locationGet directions
Mailing address
1510 E Herndon Ave Ste 110
Fresno, CA 93720-3333
Additional practice locations (1)
- 1303 E Herndon AveFresno, CA 93720-3309Phone: (559) 436-4737Fax: (559) 436-4738
Registry dates
- Enumerated
- 2010-06-30
- Last updated
- 2024-05-05
- Certified
- 2024-05-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.