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NPI Code Detail

MEDICARE: AARON KOPPEL PITMAN PA C

MEDICARE: AARON KOPPEL PITMAN PA C
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
1363AM0700XMedical Physician Assistant522MT

General Provider Information

NPI Number : 1649246737
Entity Type Code : Individual
Provider Name (Legal Business Name) : AARON KOPPEL PITMAN PA C
Provider Business Mailing Address
First Line : 350 HERITAGE WAY STE 2100
Second Line :
City : KALISPELL
State : MT
Zip : 59901-3167
Country : US
Telephone Number : 406-257-8992
Fax Number : 406-257-8996
Provider Business Practice Location Address
First Line : 350 HERITAGE WAY STE 2100
Second Line :
City : KALISPELL
State : MT
Zip : 59901-3167
Country : US
Telephone Number : 406-257-8992
Fax Number : 406-257-8996
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/27/2006
Last Update Date : 11/24/2020

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Directions to “ AARON KOPPEL PITMAN PA C” Practice Location

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