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Individual

TIFFANY PITTMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DMSC, PA-C

Contact information

Practice address
207 2ND ST W, PARK RAPIDS, MN 56470-1506
(320) 500-2024
(320) 244-7958
Mailing address
1880 OFFICE CLUB PT STE 237, COLORADO SPRINGS, CO 80920-5017
(320) 500-2024
(320) 244-7958

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1336641315
MN
05
9000240457
CO
Enumeration date
03/06/2018
Last updated
06/27/2026
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