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Individual

DAVID PIATT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
269 S CANDY LN, COTTONWOOD, AZ 86326-4158
(928) 639-6172
Mailing address
PO BOX 301, BROCTON, IL 61917-0301
(440) 396-0637

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
34-008466
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PENDING
OH
Enumeration date
01/27/2006
Last updated
07/08/2007
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