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NPI Code Detail

MEDICARE: DR. CHARLES I PITTLE DPM

MEDICARE:  DR. CHARLES I PITTLE  DPM
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
1213E00000XPodiatrist1643TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1750352449
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHARLES I PITTLE DPM
Provider Business Mailing Address
First Line : 1225 E CLIFF DR STE 2A
Second Line :
City : EL PASO
State : TX
Zip : 79902-4700
Country : US
Telephone Number : 915-598-3338
Fax Number : 915-598-3339
Provider Business Practice Location Address
First Line : 1225 E CLIFF DR STE 2A
Second Line :
City : EL PASO
State : TX
Zip : 79902-4700
Country : US
Telephone Number : 915-598-3338
Fax Number : 915-598-3339
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/30/2006
Last Update Date : 03/08/2013

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Directions to “ DR. CHARLES I PITTLE DPM” Practice Location

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