Individual
TANYA JAN PITTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
555 W 15TH ST, LIBERAL, KS 67901-2461
(620) 624-0702
(620) 624-3402
Mailing address
315 W 15TH ST, LIBERAL, KS 67901-2455
(620) 624-1651
(620) 629-2472
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
425369
KS
Other
Enumeration date
06/08/2006
Last updated
03/05/2025
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