MEDICARE: DR. AARON C PITNEY MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2080P0207X	Pediatric Hematology & Oncology Physician	L8891	TX

General Provider Information

NPI Number	:	1285637132
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AARON C PITNEY MD

Provider Business Mailing Address
First Line	:	9040A JACKSON AVE
Second Line	:	MCHJ-CLP
City	:	TACOMA
State	:	WA
Zip	:	98431-0001
Country	:	US
Telephone Number	:	253-968-1325
Fax Number	:	210-968-0384

Provider Business Practice Location Address
First Line	:	9040A JACKSON AVENUE
Second Line	:	MCHJ-CLP
City	:	TACOMA
State	:	WA
Zip	:	98431
Country	:	US
Telephone Number	:	253-968-1325
Fax Number	:	253-968-0384

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/24/2005
Last Update Date	:	05/16/2014

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