Individual
MARIE PITTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
763 N 1650 W, SPRINGVILLE, UT 84663-5066
(801) 491-3910
(801) 491-3911
Mailing address
763 N 1650 W, SPRINGVILLE, UT 84663-5066
(801) 491-3910
(801) 491-3911
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
6989568-1206
UT
363AM0700X
Medical Physician Assistant
6989568-8906
UT
Other
Enumeration date
11/30/2013
Last updated
11/30/2013
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