OrganizationActive
Alan J a Pitt MD P a
NPI 1154489821 · Dermatology Physician · Meridian, ID
Provider details
- NPI number
- 1154489821
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Alan Pitt, Owner(208) 331-3513
- License
- M7850 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1618 Millenium Way
#100
Meridian, ID 83642-6439
Phone: (208) 884-3376
Approximate (ZIP-level) locationGet directions
Mailing address
1919 N 21st St
Boise, ID 83702-0736
Registry dates
- Enumerated
- 2006-12-05
- Last updated
- 2010-07-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.