Provider Demographics
NPI:1194034918
Name:PYATT, DAVID HAROLD II (DO)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:HAROLD
Last Name:PYATT
Suffix:II
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2 HURLEY PLZ
Mailing Address - Street 2:SUITE 204
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48503-5903
Mailing Address - Country:US
Mailing Address - Phone:810-262-6743
Mailing Address - Fax:810-235-1210
Practice Address - Street 1:2 HURLEY PLZ
Practice Address - Street 2:SUITE 101
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48503-5903
Practice Address - Country:US
Practice Address - Phone:810-262-6426
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-28
Last Update Date:2014-08-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI5101019015207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
M32030125Medicare PIN