Individual
ANDREW PITZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
495 RAMSEY AVE, GRANTS PASS, OR 97527-5681
(541) 476-6644
Mailing address
495 RAMSEY AVE, GRANTS PASS, OR 97527-5681
(541) 476-6644
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DO23532
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
287023
—
OR
Enumeration date
03/28/2006
Last updated
09/18/2007
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