DR. John Randall Pitman, OD

NPI #1568640423 in Boise, Idaho

Provider Information

NPI Number: 1568640423
Entity Type: Individual
Name: DR. John Randall Pitman, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Feb 3, 2008
Last Updated: Feb 3, 2008

Practice Location

Address: 2051 S COLE RD
City: Boise
State: Idaho
ZIP Code: 83709-2815
Phone: (208) 672-1200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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