Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0106X | Orthopaedic Hand Surgeon | A139721 | CA |
NPI | 1023428901 |
---|---|
Provider Name | Austin Arlo Pitcher |
First Address | San Ramon, CA 94583-1524 |
Second Address | Oakland, CA 94611-5717 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/05/2014 |
Last Update Date | 06/08/2020 |