Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Pruett Surgical Associates, LLC

Organization Specialist · NPI 1568403079

Pruett Surgical Associates, LLC is a Specialist in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2006.

Licensed in
MO
In the registry since
2006
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3009 N Ballas Rd 132A
Saint Louis, MO 63131-2322
Phone: (314) 995-6999
Fax: (314) 995-7064
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 2002008093 (MO)
Specialist Taxonomy 174400000X · Licence 27599 (MO)

Record details

NPI number1568403079
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tracy Parciak — Office Manager · (314) 432-2580
NPI enumeratedJune 8, 2006
Last updated in NPPESSeptember 24, 2008
Mailing addressPo Box 11750, Saint Louis, MO 63105-0550

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