Organization
ALAN J A PITT MD P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAN J PITT MD (OWNER)
(208) 331-3513
Entity
Organization
Contact information
Practice address
1618 MILLENIUM WAY, #100, MERIDIAN, ID 83642-6439
(208) 884-3376
Mailing address
1919 N 21ST ST, BOISE, ID 83702-0736
(208) 331-3513
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
M7850
ID
Other
Enumeration date
12/05/2006
Last updated
07/01/2010
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