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Individual

DR. GAVIN T PITTMAN

Active
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Individual

DR. GAVIN T PITTMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
47753
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
135135E949
UCARE
—
01
—
332G2PI
BLUECROSSBLUESHIELD
—
05
—
660273800
—
MN
01
—
901999
MEDICA
—
01
—
969991044105
PREFERREDONE
—
01
—
HP52033
HEALTHPARTNERS
—
Enumeration date
07/18/2006
Last updated
10/25/2018
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