NPI 1023475878

Matthew H Pruitt, PAC

Practitioner Physician Assistant Benton, AR

Practice location

Address: 1 Medical Park Dr, Benton, AR 72015-3353
Phone: (501) 776-6000
Mailing address: 27 Lariat CT, Little Rock, AR 72211-4142

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X

Other Physician Assistant providers in Arkansas →

Registry record

NPI: 1023475878
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Jan 2016
Record last updated: 25 Jan 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.