Individual
DAVID PITRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 815-1779
Mailing address
405 APACHE RD, HOUMA, LA 70360-6040
(985) 804-1490
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
29214
MS
2085R0202X
Diagnostic Radiology Physician
Primary
339528
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2019
Last updated
07/30/2024
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