Individual
MICHAEL PITTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 N RANGE LINE RD # 304, JOPLIN, MO 64801-4118
(417) 206-7845
Mailing address
PO BOX 3703, JOPLIN, MO 64803-3703
(417) 206-7845
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
—
—
Other
Enumeration date
02/18/2016
Last updated
02/18/2016
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