Individual
MR. JOSHUA BLAINE PITTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPO, FAAOP
Contact information
Practice address
22215 TUPPER STREET, SUITE B, WINFIELD, KS 67156-1163
(620) 402-6789
(620) 402-6791
Mailing address
P.O. 1163, 22215 TUPPER STREET, SUITE B, WINFIELD, KS 67156-1163
(620) 402-6789
(620) 402-6791
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1871592550
NPI
KS
Enumeration date
07/15/2005
Last updated
03/19/2014
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