MEDICARE: CLAUDE JOSEPH PIRTLE MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	56366	TN
2	207R00000X	Internal Medicine Physician	E-16087	AR

General Provider Information

NPI Number	:	1265851398
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CLAUDE JOSEPH PIRTLE MD

Provider Business Mailing Address
First Line	:	PO BOX 776084
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60677-6084
Country	:	US
Telephone Number	:	479-338-3717
Fax Number	:	479-338-3718

Provider Business Practice Location Address
First Line	:	2708 S RIFE MEDICAL LN # T25
Second Line	:
City	:	ROGERS
State	:	AR
Zip	:	72758-9122
Country	:	US
Telephone Number	:	479-338-3717
Fax Number	:	479-338-3718

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/16/2014
Last Update Date	:	03/26/2026

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Directions to “ CLAUDE JOSEPH PIRTLE MD” Practice Location

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