# GARY B. PITT DPM INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306032180
- **Authorized official:** DR. GARY BYRON PITT DPM (PRESIDENT)
- **Authorized official phone:** (808) 638-7589

## Contact information

- **Practice address:** 59-229 ALAPIO RD, HALEIWA, HI 96712-9604
- **Practice address phone:** (808) 638-7589
- **Mailing address:** 59-229 ALAPIO RD, HALEIWA, HI 96712-9604
- **Mailing address phone:** (808) 638-7589

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | PO136 | HI | Yes |

## Other

- **Enumeration date:** 09/14/2007
- **Last updated:** 09/14/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 021483-3 | HMSA | HI |
| 05 | — | 08802101 | — | HI |