Provider Demographics
NPI:1679671473
Name:PIROTTE, THOMAS PETER (MD)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:PETER
Last Name:PIROTTE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4609 SEAGRAVES DR
Mailing Address - Street 2:
Mailing Address - City:JOPLIN
Mailing Address - State:MO
Mailing Address - Zip Code:64804
Mailing Address - Country:US
Mailing Address - Phone:417-624-8923
Mailing Address - Fax:
Practice Address - Street 1:1423 NORTH JEFFERSON
Practice Address - Street 2:COX HEALTH OCCUPATIONAL MEDICINE K500
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65802
Practice Address - Country:US
Practice Address - Phone:417-269-3813
Practice Address - Fax:417-269-3817
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOR6F202083P0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0500XAllopathic & Osteopathic PhysiciansPreventive MedicinePreventive Medicine/Occupational Environmental Medicine