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1225013485
BASIL PITTENGER
COOS BAY, OR
NPI
1225013485
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: OR MD25030)
Enumeration Date
2005-12-09
Last Update Date
2010-03-23
Business Address
Dr. BASIL PITTENGER MD
1900 WOODLAND DR
COOS BAY, OR 97420-0000
Phone number: 541-267-5151
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Mailing Address
Dr. BASIL PITTENGER MD
1900 WOODLAND DR
COOS BAY, OR 97420-0000
Phone number: 541-267-5151
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