Individual
DR. GAVIN T PITTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
47753
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
135135E949
UCARE
—
01
—
332G2PI
BLUECROSSBLUESHIELD
—
05
—
660273800
—
MN
01
—
901999
MEDICA
—
01
—
969991044105
PREFERREDONE
—
01
—
HP52033
HEALTHPARTNERS
—
Enumeration date
07/18/2006
Last updated
10/25/2018
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