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Organization
GARY B. PITT DPM INC
Active
Organization
GARY B. PITT DPM INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY BYRON PITT DPM (PRESIDENT)
(808) 638-7589
Entity
Organization
Contact information
Practice address
59-229 ALAPIO RD, HALEIWA, HI 96712-9604
(808) 638-7589
Mailing address
59-229 ALAPIO RD, HALEIWA, HI 96712-9604
(808) 638-7589
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO136
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
021483-3
HMSA
HI
05
—
08802101
—
HI
Enumeration date
09/14/2007
Last updated
09/14/2007
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