Individual
MR. THOMAS LINDLEY PITTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085000989
IL
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
085000989
STATE
IL
Enumeration date
09/29/2006
Last updated
05/12/2023
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