# NORTHWEST SURGICAL SPECIALISTS INC.

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

## Provider details

- **NPI number:** 1457531089
- **Authorized official:** DR. MICHELLE ANTOINETTE PITTMAN MD (OWNER)
- **Authorized official phone:** (318) 675-1322

## Contact information

- **Practice address:** 1801 FAIRFIELD AVE, SUITE 408, SHREVEPORT, LA 71101-4468
- **Practice address phone:** (318) 675-1322
- **Practice address fax:** (318) 675-1332
- **Mailing address:** 1801 FAIRFIELD AVE, SUITE 408, SHREVEPORT, LA 71101-4468
- **Mailing address phone:** (318) 675-1322
- **Mailing address fax:** (318) 675-1332

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0102X | Surgical Critical Care Physician | 201400 | LA | Yes |

## Other

- **Enumeration date:** 11/12/2007
- **Last updated:** 01/09/2012