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Individual

DAVID PITKETHLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
HARBORVIEW MEDICAL CENTER, PBS BUILDING 401 BROADWAY, SEATTLE, WA 98122
(206) 744-9300
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
MD00012712
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1043751
WA
01
6330
INTERNAL ID-MOTOR VEHICLE ID
Enumeration date
10/27/2006
Last updated
07/08/2007
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