Basic Information
Provider Information
NPI: 1003046095
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: PYTIAK
FirstName: ANDREW
MiddleName: VOLODYMYR
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 4900 S MONACO ST STE 210
Address2: MC5062
City: DENVER
State: CO
PostalCode: 802373487
CountryCode: US
TelephoneNumber: 3038612663
FaxNumber: 3038614741
Practice Location
Address1: 2055 N HIGH ST STE 130
Address2:  
City: DENVER
State: CO
PostalCode: 802055504
CountryCode: US
TelephoneNumber: 3038612663
FaxNumber: 3038614741
Other Information
ProviderEnumerationDate: 07/23/2009
LastUpdateDate: 01/27/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207X00000XA130217CAN Allopathic & Osteopathic PhysiciansOrthopaedic Surgery 
207X00000X55621COY Allopathic & Osteopathic PhysiciansOrthopaedic Surgery 

No ID Information.


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