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Individual

DR. JOHN W PITTENGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
266 JOULE ST, ALCOA, TN 37701-2422
(865) 984-3864
(865) 380-2131
Mailing address
701 MORGANTON SQUARE DR, MARYVILLE, TN 37801-4796
(865) 984-3864
(865) 380-2131

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9559
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1529924
TN
Enumeration date
11/09/2006
Last updated
01/25/2013
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