Individual
DR. LEONARD JOHN PITTALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2101 CORONA RD, STE 102, COLUMBIA, MO 65203-2582
(573) 234-1800
Mailing address
2101 CORONA RD, STE 102, COLUMBIA, MO 65203-2582
(573) 234-1800
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
R6A65
MO
208D00000X
General Practice Physician
76-00002
KS
208D00000X
General Practice Physician
Primary
R6A65
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09731015
BCBS OF KANSAS CITY INDIV
MO
05
—
241705904
—
MO
Enumeration date
01/23/2006
Last updated
05/20/2025
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