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Individual

MARK A PITNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
222 N 192ND ST, ELKHORN, NE 68022-5363
(402) 390-4111
(402) 390-4115
Mailing address
8005 FARNAM DR STE 305, OMAHA, NE 68114-3426
(402) 390-4111
(402) 390-4115

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
18613
NE
207X00000X
Orthopaedic Surgery Physician
29076
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1578595682
IA
05
47068731742
NE
05
47068731751
NE
Enumeration date
07/07/2006
Last updated
12/13/2023
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