Individual provider · Type 1 NPI

Dena R. Pruitt, PAC

Surgical Physician Assistant · Seattle, WA

NPI number 1497908750 Active

Practice location

325 9th Ave # 359798
Seattle, WA 98104-2420

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA60053140 (WA)
Surgical Physician Assistant Primary 363AS0400XPA60053140 (WA)

Surgical Physician Assistant: Definition to come...

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About NPI 1497908750

Dena R. Pruitt, PAC's National Provider Identifier is 1497908750, issued on Oct 30, 2008. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Seattle, WA. The record was last updated on Dec 16, 2021.