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Contact Information

DAVID PITTS MD PA
1040 SAKELARES BLVD
GRANTS, NM87020-3819
 Phone: 505-287-4489
 Fax: 505-287-8441
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for DAVID PITTS MD PA

NPI Number 1568480440
LBN Legal business name DAVID PITTS MD PA
Authorized official DAVID PITTS - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/18/2006
Last updated 04/28/2008 - About 18 years ago
Identifiers
NM License # 94-120 D.P/94-121 JP
NM Medicaid K8488
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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