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NPI Code Detail

MEDICARE: DR. ERIC RYAN PITTMAN M.D.

MEDICARE:  DR. ERIC RYAN PITTMAN  M.D.
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
1207Q00000XFamily Medicine PhysicianDR.0059228CO

General Provider Information

NPI Number : 1598969909
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ERIC RYAN PITTMAN M.D.
Provider Business Mailing Address
First Line : 6011 E WOODMEN RD STE 125
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80923-2603
Country : US
Telephone Number : 719-571-8030
Fax Number : 719-571-8031
Provider Business Practice Location Address
First Line : 6011 E WOODMEN RD STE 125
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80923-2603
Country : US
Telephone Number : 719-571-8030
Fax Number : 719-571-8031
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2007
Last Update Date : 06/10/2021

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Directions to “ DR. ERIC RYAN PITTMAN M.D.” Practice Location

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