Individual
BRUCE G PITTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
801 BROADWAY N, FARGO, ND 58102-3641
(701) 234-6707
(701) 234-6979
Mailing address
801 BROADWAY N, FARGO, ND 58102-3641
(701) 234-6707
(701) 234-6979
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
24715
MN
207R00000X
Internal Medicine Physician
Primary
4232
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14004
—
ND
05
—
605793400
—
MN
Enumeration date
06/27/2006
Last updated
05/02/2012
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