NPI 1154489821

Alan J a Pitt MD P a

Organisation Dermatology Physician Meridian, ID

Practice location

Address: 1618 Millenium Way #100, Meridian, ID 83642-6439
Phone: (208) 884-3376
Mailing address: 1919 N 21st St, Boise, ID 83702-0736

Authorised official

Name: Alan J Pitt
Title: Owner
Phone: (208) 331-3513

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence M7850 (ID)

Other Dermatology providers in Idaho →

Registry record

NPI: 1154489821
Entity type: Organization
NPI issued: 5 Dec 2006
Record last updated: 1 Jul 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.