Most Relevant Information
Provider Data
| NPI Number: | 1003014077 |
| Provider Name: | LARRY HALE PITTMAN D.P.M. |
| Entity Type: | Individual |
| Taxonomy Code: | 213ES0103X |
| Specialty: | Podiatrist |
| License Number: | 257 |
Most Important Dates
| Enumeration Date: | 07/11/2007 |
| Last Updated: | 10/13/2009 |
Provider Practice Location
3300 CHANDLER RD
SUITE 105
MUSKOGEE
OK
744034957
Practice Location Phone/Fax
| Phone: | 9186813333 |
| Fax: |
Provider Mailing Location
PO BOX 2348
EDMOND
OK
730832348
Provider Mailing Phone/Fax
| Phone: | 9186162386 |
| Fax: |
Suggested EMR
Podiatry EMR