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Individual
MR. ALEX ALTON PITTMAN
Active
Individual
MR. ALEX ALTON PITTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT PA-C
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
6554
SC
363A00000X
Physician Assistant
PA.200822
LA
363A00000X
Physician Assistant
Primary
PA60991959
WA
363AS0400X
Surgical Physician Assistant
PA987
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2142842
—
WA
Enumeration date
10/31/2011
Last updated
01/14/2020
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