Individual
BRADLEY DALE PITTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1000 15TH ST, WOODWARD, OK 73801
(580) 256-1236
(580) 256-7500
Mailing address
1000 15TH ST, WOODWARD, OK 73801
(580) 256-1236
(580) 256-7500
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
PA1696
OK
363A00000X
Physician Assistant
Primary
1696
OK
Other
Enumeration date
01/23/2008
Last updated
07/17/2026
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