National Provider Identifier Database

DAVID PITTS MD PA
Specialist

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.


Contact Information

DAVID PITTS MD PA
1040 SAKELARES BLVD
GRANTS, NM87020-3819
Phone: 505-287-4489
Fax: 505-287-8441
Website:
Specialty Taxonomy Code
* Specialist 174400000X

* Indicates primary specialty

NPI Profile & details for DAVID PITTS MD PA

NPI Number 1568480440
Legal business name
LBN
DAVID PITTS MD PA
Authorized official DAVID PITTS - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 07/18/2006
Last updated 04/28/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • NM License #: 94-120 D.P/94-121 JP
  • NM Medicaid: K8488

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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