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NPI Code Detail

MEDICARE: STUART L PYATT DO

MEDICARE: STUART L PYATT DO
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
1207P00000XEmergency Medicine Physician036085811IL

General Provider Information

NPI Number : 1255399242
Entity Type Code : Individual
Provider Name (Legal Business Name) : STUART L PYATT DO
Provider Business Mailing Address
First Line : 4628 WILLOW CREEK BND
Second Line :
City : QUINCY
State : IL
Zip : 62305-9072
Country : US
Telephone Number : 217-223-6827
Fax Number :
Provider Business Practice Location Address
First Line : 640 W WASHINGTON ST
Second Line :
City : PITTSFIELD
State : IL
Zip : 62363-1350
Country : US
Telephone Number : 217-285-2113
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/02/2006
Last Update Date : 11/27/2023

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Directions to “ STUART L PYATT DO” Practice Location

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