Organization
PHYSICIAN FOOT & ANKLE SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARRY HALE PITTMAN DPM (OWNER)
(918) 706-9875
Entity
Organization
Contact information
Practice address
2609 HIGHWOOD PL, CLAREMORE, OK 74017-4884
(918) 384-9159
Mailing address
2609 HIGHWOOD PL, CLAREMORE, OK 74017-4884
(918) 384-9159
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
07/03/2019
Last updated
07/03/2019
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