Alan J a Pitt MD P a

NPI #1154489821 in Meridian, Idaho

Provider Information

NPI Number: 1154489821
Entity Type: Organization
Organization Name: Alan J a Pitt MD P a
Primary Specialty: Dermatology
Enumeration Date: Dec 5, 2006
Last Updated: Jul 1, 2010

Practice Location

Address: 1618 MILLENIUM WAY
Address 2: #100
City: Meridian
State: Idaho
ZIP Code: 83642-6439
Phone: (208) 884-3376

Authorized Official

Name: DR. ALAN J PITT, MD
Title: OWNER
Phone: (208) 331-3513

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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