Individual
DR. LARRY HALE PITTMAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
3300 CHANDLER RD, SUITE 105, MUSKOGEE, OK 74403-4957
(918) 681-3333
Mailing address
PO BOX 2348, EDMOND, OK 73083-2348
(918) 616-2386
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
257
OK
Other
Enumeration date
07/11/2007
Last updated
10/13/2009
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