MEDICARE: DR. AMY A. 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
1	207P00000X	Emergency Medicine Physician	E-4339	AR

General Provider Information

NPI Number	:	1972567600
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AMY A. PITTMAN M.D.

Provider Business Mailing Address
First Line	:	ENCORE MEDICAL CENTER
Second Line	:	1901 ENCORE WAY
City	:	BRYANT
State	:	AR
Zip	:	72019
Country	:	US
Telephone Number	:	501-213-4138
Fax Number	:

Provider Business Practice Location Address
First Line	:	ENCORE MEDICAL CENTER
Second Line	:	1901 ENCORE WAY
City	:	BRYANT
State	:	AR
Zip	:	72019
Country	:	US
Telephone Number	:	501-213-4138
Fax Number	:

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

Provider Enumeration Date	:	04/12/2006
Last Update Date	:	08/07/2025

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