Larry Hale Pittman, D.P.M. Valid NPI

Individual provider · Foot & Ankle Surgery Podiatrist · Muskogee, OK

NPI

1003014077

Type

Individual (Type 1)

Primary specialty

Foot & Ankle Surgery Podiatrist (Podiatrist)

Specialty group

Podiatric Medicine & Surgery Service Providers

Taxonomy code

213ES0103X

License number

257 (OK)

Sex

Male

Sole proprietor

No

Enumerated

2007-07-11

Last updated

2009-10-13