Search › Arizona › 172A00000X
Corey Pittman
NPI 1861762627 · on the registry since 2012 · sole proprietor
Practice
- Address
- 1225 N 159th Dr
Goodyear, AZ 85338 - Phone
- (602) 672-2853
- Fax
- (623) 932-2096
Registry record
- Primary taxonomy
- 172A00000X
172A00000X
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-01-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona