MEDICARE: DR. ANNE ELIZABETH STOLTZ-PRUITT D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	02003765A	IN

General Provider Information

NPI Number	:	1609003953
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANNE ELIZABETH STOLTZ-PRUITT D.O.

Provider Business Mailing Address
First Line	:	2841 RENDOVA RD RM 16
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92155-5490
Country	:	US
Telephone Number	:	619-437-2860
Fax Number	:

Provider Business Practice Location Address
First Line	:	2841 RENDOVA RD RM 16
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92155-5490
Country	:	US
Telephone Number	:	619-437-2860
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/14/2009
Last Update Date	:	08/01/2024

Similar Medicare Providers

1881914000 — GRUPO MEDICO POLICLINICA SAN PEDRO MEDICARE ADVANTAGE
Practice Location Address:

211 CALLE MORSE
ARROYO, PR
00714-2350

Practice Phone: 787-839-3980
Practice Fax: 787-271-2515

1518113349 — DR. TODD RANDAL SEECH PHD
Practice Location Address:

2841 RENDOVA RD
SAN DIEGO, CA
92155-5490

Practice Phone: 760-716-0851
Practice Fax:

1386623171 — DR. MILTON JOSEPH GRISHAM JR. D.O
Practice Location Address:

2841 RENDOVA ROAD
SAN DIEGO, CA
92155-5490

Practice Phone: 619-437-2117
Practice Fax: 619-437-2700

1407827645 — DR. MICHAEL LEWIS KENT MD
Practice Location Address:

2841 RENDOVA ROAD , COMNAVSURFOR MEDICAL
SAN DIEGO, CA
92155-5490

Practice Phone: 619-437-2860
Practice Fax: 619-437-2700

1922073212 — DR. NICHOLAS M. CARDINALE M.D..
Practice Location Address:

2841 RENDOVA RD , COMNAVSURFOR MEDICAL DEPT (CODE N01MA)
SAN DIEGO, CA
92155-5490

Practice Phone: 619-437-2860
Practice Fax: 619-437-2700

1053360057 — NEIL PARTAIN MD
Practice Location Address:

COMNAVSURFPAC 2841 RENDOVA RD
SAN DIEGO, CA
92155-5490

Practice Phone: 808-473-2553
Practice Fax:

Directions to “ DR. ANNE ELIZABETH STOLTZ-PRUITT D.O.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.