Individual
DR. JOHN R PITTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11220 N ROCKWELL AVE, OKLAHOMA CITY, OK 73162-2725
(405) 722-9474
(405) 722-9463
Mailing address
11220 N ROCKWELL AVE, OKLAHOMA CITY, OK 73162-2725
(405) 722-9474
(405) 722-9463
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
13230
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100082890A
—
OK
Enumeration date
11/19/2005
Last updated
11/30/2015
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