Corey Lee Pittman

Driver · Goodyear, AZ

Individual Active NPI

NPI number 1861762627

Practice location

1225 N 159TH Dr
Goodyear, AZ 85338-2753
Phone
(602) 672-2853
Fax
(623) 932-2096

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NPI record

NPI
1861762627
Entity type
Individual (Type 1)
Enumeration date
January 10, 2012
Last updated
January 21, 2014
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Driver Primary 172A00000X 20568756 AZ

About Corey Pittman

Corey Lee Pittman is a healthcare provider registered in the NPI registry with the primary taxonomy Driver (code 172A00000X). The practice location is 1225 N 159TH Dr, Goodyear, AZ 85338-2753. The NPI number 1861762627 was assigned on January 10, 2012 and the record was last updated on January 21, 2014.

Corey Pittman lists a license in the registry: #20568756 (AZ) for Driver. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Corey Lee Pittman?

The NPI number is 1861762627.

What is the phone number of Corey Pittman?

The phone number listed for the practice location is (602) 672-2853.

Where is Corey Pittman located?

1225 N 159TH Dr, Goodyear, AZ 85338-2753.

What is the taxonomy code for Corey Pittman?

The primary taxonomy code is 172A00000X – Driver.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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