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NPI Code Detail

MEDICARE: DR. RON BENTON PITKANEN M.D.

MEDICARE: DR. RON BENTON PITKANEN M.D.
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
1207LP2900XPain Medicine (Anesthesiology) Physician34323AL

General Provider Information

NPI Number : 1457677015
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RON BENTON PITKANEN M.D.
Provider Business Mailing Address
First Line : 2700 HIGHWAY 280 S STE 212
Second Line :
City : MOUNTAIN BRK
State : AL
Zip : 35223-2468
Country : US
Telephone Number : 205-878-4368
Fax Number : 855-809-8099
Provider Business Practice Location Address
First Line : 2700 HIGHWAY 280 S STE 212
Second Line :
City : MOUNTAIN BRK
State : AL
Zip : 35223-2468
Country : US
Telephone Number : 205-878-4368
Fax Number : 205-878-4367
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2010
Last Update Date : 04/18/2023

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Directions to “ DR. RON BENTON PITKANEN M.D.” Practice Location

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