Individual
DR. ERIC PITTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6644 E BAYWOOD AVE, BANNER BAYWOOD MEDICAL CENTER, MESA, AZ 85206
(480) 321-3900
(480) 321-3840
Mailing address
6644 E BAYWOOD AVE, BANNER BAYWOOD MEDICAL CENTER, MESA, AZ 85206
(480) 321-3900
(480) 321-3840
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
30757
AZ
208M00000X
Hospitalist Physician
Primary
30757
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
74591104
—
AZ
01
—
AZ0740040
BCBS
AZ
01
—
P00059189
RR MEDICARE
AZ
Enumeration date
03/23/2006
Last updated
10/06/2015
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