Individual
DAVID PITTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1025 S 6TH ST, SPRINGFIELD, IL 62703-2403
(217) 528-7541
(217) 525-4535
Mailing address
1025 S 6TH ST, SPRINGFIELD, IL 62703-2403
(217) 528-7541
(217) 525-4535
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
36-102850
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036102850
—
IL
Enumeration date
07/10/2006
Last updated
06/18/2020
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