Individual provider · Type 1 NPI

Larry Hale Pittman Jr., D.P.M.

Foot & Ankle Surgery Podiatrist · Muskogee, OK

NPI number 1003014077 Active

Practice location

3300 Chandler Rd, Suite 105
Muskogee, OK 74403-4957

Mailing address

PO Box 2348
Edmond, OK 73083-2348

Specialties and licenses

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist Primary 213ES0103X257 (OK)

Foot & Ankle Surgery Podiatrist: Definition to come...

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About NPI 1003014077

Larry Hale Pittman Jr., D.P.M.'s National Provider Identifier is 1003014077, issued on Jul 11, 2007. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Muskogee, OK. The record was last updated on Oct 13, 2009.