Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 55621 | CO |
N | 207X00000X | Orthopaedic Surgeon | A130217 | CA |
NPI | 1003046095 |
---|---|
Provider Name | Dr. Andrew Volodymyr Pytiak |
First Address | Denver, CO 80237-3487 |
Second Address | Denver, CO 80205-5504 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/07/2009 |
Last Update Date | 27/01/2022 |