Provider Demographics
NPI:1225099575
Name:PITTS, JAMES R (PA-C)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:R
Last Name:PITTS
Suffix:
Gender:M
Credentials:PA-C
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Mailing Address - Street 1:1241 W MINERAL AVE
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80120-5685
Mailing Address - Country:US
Mailing Address - Phone:303-759-0854
Mailing Address - Fax:303-759-0864
Practice Address - Street 1:10 PURGATORY BLVD
Practice Address - Street 2:
Practice Address - City:DURANGO
Practice Address - State:CO
Practice Address - Zip Code:81301-0000
Practice Address - Country:US
Practice Address - Phone:970-259-4553
Practice Address - Fax:970-247-0925
Is Sole Proprietor?:No
Enumeration Date:2006-03-28
Last Update Date:2021-02-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO545363A00000X
COPA.0000545363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
COCO301323Medicare PIN