Individual
RYAN N PITALO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
HIS
Contact information
Practice address
120 CAILLAVET ST, BILOXI, MS 39530-4102
(228) 432-7071
(228) 432-7910
Mailing address
120 CAILLAVET ST, BILOXI, MS 39530-4102
(228) 432-7071
(228) 432-7910
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HA0603
MS
Other
Enumeration date
09/05/2019
Last updated
09/05/2019
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