Provider Demographics
NPI:1417242298
Name:PITTMAN, DEWITT ALEXANDER II (MD)
Entity Type:Individual
Prefix:
First Name:DEWITT
Middle Name:ALEXANDER
Last Name:PITTMAN
Suffix:II
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:101 SIVLEY RD SW
Mailing Address - Street 2:EMERGENCY PHYSICIANS GROUP- HUNTSVILLE HOSPITAL
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-4421
Mailing Address - Country:US
Mailing Address - Phone:256-265-9889
Mailing Address - Fax:256-265-9910
Practice Address - Street 1:101 SIVLEY RD SW
Practice Address - Street 2:EMERGENCY PHYSICIANS GROUP- HUNTSVILLE HOSPITAL
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-4421
Practice Address - Country:US
Practice Address - Phone:256-265-9889
Practice Address - Fax:256-265-9910
Is Sole Proprietor?:No
Enumeration Date:2011-06-09
Last Update Date:2014-07-03
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Provider Licenses
StateLicense IDTaxonomies
SCLL33557207P00000X
AL33321207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine