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Individual

DR. SUSAN ANNETTE PITTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
100 MERCY WAY, JOPLIN, MO 64804
(417) 556-6428
Mailing address
100 MERCY WAY, JOPLIN, MO 64804-4524
(417) 556-6428

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
5425
OK
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
2018008658
MO

Other

Enumeration date
05/26/2012
Last updated
07/30/2018
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