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Individual

JAMES RYAN PITTS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
IDC

Contact information

Practice address
2005 KNIGHT LANE, BLDG. H NAVY MEDICINE SUPPORT COMMAND, JACKSONVILLE, FL 32212-0140
(760) 725-7285
Mailing address
11899 SPRUCE RUN DR APT A, SAN DIEGO, CA 92131-4764
(858) 243-3031

Taxonomy

Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary

Other

Enumeration date
02/16/2010
Last updated
02/16/2010
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