Individual
TONI S PITTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
325 MAINE ST, LAWRENCE, KS 66044-1360
(785) 505-6162
Mailing address
325 MAINE ST, LAWRENCE, KS 66044-1360
(785) 505-6162
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
0431936
KS
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
0431936
KS
Other
Enumeration date
09/20/2006
Last updated
05/11/2021
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