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Individual

JOSEPH MATT PITTARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
225 MEDICAL CENTER DRIVE, SUITE 201, PADUCAH, KY 42003
(270) 441-4200
(270) 441-4249
Mailing address
2200 JEFFERSON AVE, 5TH FLOOR MERCY PHO/CVO, TOLEDO, OH 43604-7101

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
24514
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
64245145
KY
Enumeration date
11/07/2006
Last updated
03/13/2018
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