Individual
PHILIP W PITTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2000 S 42ND ST STE 100, ROGERS, AR 72758-2001
(479) 273-9173
(479) 464-9989
Mailing address
2000 S 42ND ST STE 100, ROGERS, AR 72758-2001
(479) 273-9173
(479) 464-9989
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
E-17303
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110235123
RAILROAD MEDICARE PIN
—
01
—
J2901
TX LICENSE #
TX
Enumeration date
07/20/2005
Last updated
08/09/2024
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