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 provides Specialist services 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 Not confirmed with CMS for 18 years — call before visiting
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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