Individual
DR. GREGORY L PITTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
21691
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000619310
ANTHEM
KY
05
—
100373790
—
IN
05
—
64216914
—
KY
01
—
P00719573
RAILROAD MEDICARE
KY
Enumeration date
12/28/2005
Last updated
12/13/2013
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