IndividualActive
Charles Pruitt, MD
NPI 1962583757 · Pediatric Emergency Medicine (Pediatrics) Physician · Salt Lake City, UT
Provider details
- NPI number
- 1962583757
- Entity type
- Individual
- Primary specialty
- Pediatric Emergency Medicine (Pediatrics) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 6079976-1205 (UT)
Practice location
100 N Medical Dr
Salt Lake City, UT 84113-1103
Phone: (801) 662-1000
Mailing address
Po Box 581100
Salt Lake City, UT 84158-1100
Registry dates
- Enumerated
- 2006-10-18
- Last updated
- 2021-12-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.