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Individual

JOSEPH C PITTS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
7500 MERCY RD, OMAHA, NE 68124-2319
(402) 398-6176
Mailing address
39 PROSPECT ST SW, LE MARS, IA 51031-2732
(712) 540-4075

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
72128
NE
367500000X
Certified Registered Nurse Anesthetist
Primary
101402
NE

Other

Enumeration date
02/09/2017
Last updated
05/03/2017
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