Individual
STEPHEN PITTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5518 ELLSWORTH RD, FORT SMITH, AR 72903-3222
(479) 274-1747
Mailing address
9001 S 12TH ST, FORT SMITH, AR 72908-8898
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
230798
AR
Other
Enumeration date
11/21/2024
Last updated
11/21/2024
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