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Individual

RYAN T PITMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
615 S NEW BALLAS RD STE Y-G230, SAINT LOUIS, MO 63141-8221
(314) 251-5550
(314) 251-5552
Mailing address
615 S NEW BALLAS RD STE Y-G230, SAINT LOUIS, MO 63141-8221
(314) 251-5550
(314) 251-5552

Taxonomy

Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
01082129A
IN
2080P0206X
Pediatric Gastroenterology Physician
Primary
2025029054
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300025263
IN
Enumeration date
06/27/2013
Last updated
08/12/2025
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