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Individual

D. H. PITKIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
6700 W EMERALD ST, BOISE, ID 83704-8727
(208) 376-3550
(208) 321-2710
Mailing address
10169 W CRANBERRY CT, BOISE, ID 83704-2116
(208) 375-2369

Taxonomy

Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
0DP-510
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
002455800
ID
Enumeration date
08/01/2006
Last updated
11/29/2010
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