Organization
AFFINITY HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN PITTS DO (MEDICAL DIRECTOR)
(918) 208-7497
Entity
Organization
Contact information
Practice address
301 N BROADWAY ST, POTEAU, OK 74953-3355
(918) 208-7497
(918) 208-7687
Mailing address
301 N BROADWAY ST, POTEAU, OK 74953-3355
(918) 208-7497
(918) 208-7687
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3982
OK
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—
261QP3300X
Pain Clinic/Center
3982
OK
Other
Enumeration date
01/24/2018
Last updated
01/24/2018
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