David Pitts MD PA
Organization Active NPI Specialist · Grants, NM
NPI 1568480440 · NPPES record last updated Apr 28, 2008
Key facts
- NPI
- 1568480440
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Specialist 174400000X
- License
- 94-120 D.P/94-121 JP (NM)
- Legal business name
- DAVID PITTS MD PA
- Practice address
- 1040 Sakelares Blvd
Grants, NM 87020-3819 - Phone
- (505) 287-4489
- Fax
- (505) 287-8441
- NPI assigned
- Jul 18, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. David B Pitts, MD
- Title
- Owner
- Phone
- (505) 287-4489
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist |
174400000X | 94-120 D.P/94-121 JP | NM | Yes |
Addresses
Primary practice location
1040 Sakelares Blvd
Grants, NM 87020-3819
Mailing address
1040 Sakelares Blvd
Grants, NM 87020-3819
Phone (505) 287-4489
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| K8488 | Medicaid | NM |
Other providers in Grants, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 28, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.