Provider Demographics
NPI:1629104658
Name:TRUITT, GARLAND LEIGH JR (MD)
Entity Type:Individual
Prefix:DR
First Name:GARLAND
Middle Name:LEIGH
Last Name:TRUITT
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:4755 HIGHLINE PL
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80222-6740
Mailing Address - Country:US
Mailing Address - Phone:303-843-9713
Mailing Address - Fax:303-843-4161
Practice Address - Street 1:4755 HIGHLINE PL
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80222-6740
Practice Address - Country:US
Practice Address - Phone:303-843-9713
Practice Address - Fax:303-843-4161
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-26
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO16953207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO89701Medicare UPIN