Individual
DR. DANIEL PHILLIP PITSTICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1 WYOMING ST, DAYTON, OH 45409-2722
(937) 208-3356
Mailing address
PO BOX 100371, GAINESVILLE, FL 32610-0371
(352) 338-2195
(352) 265-0627
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS8978
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
267739300
—
FL
Enumeration date
10/14/2006
Last updated
06/24/2015
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