Individual
BILLY PITTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1812 LORENE ST, EL DORADO, AR 71730-8129
(870) 863-8133
(870) 863-4111
Mailing address
715 N COLLEGE AVE, EL DORADO, AR 71730-4403
(870) 862-7921
(870) 864-2490
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/15/2008
Last updated
08/18/2008
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