IndividualActive
Christopher Pruitt, PA
NPI 1629800032 · Medical Physician Assistant · Casper, WY
Provider details
- NPI number
- 1629800032
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
- License
- PA1408 (WY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1300 Venture Way Ste 206
Casper, WY 82609-4353
Phone: (307) 268-9904
Approximate (ZIP-level) locationGet directions
Mailing address
1300 Venture Way Ste 206
Casper, WY 82609-4353
Registry dates
- Enumerated
- 2024-08-14
- Last updated
- 2026-02-10
- Certified
- 2026-02-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.