Organization
GARY B. PITT DPM INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY BYRON PITT DPM (PRESIDENT)
(808) 638-7589
Entity
Organization
Contact information
Practice address
59-229 ALAPIO RD, HALEIWA, HI 96712-9604
(808) 638-7589
Mailing address
59-229 ALAPIO RD, HALEIWA, HI 96712-9604
(808) 638-7589
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO136
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
021483-3
HMSA
HI
05
—
08802101
—
HI
Enumeration date
09/14/2007
Last updated
09/14/2007
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