Provider Demographics
NPI:1003046095
Name:PYTIAK, ANDREW VOLODYMYR (MD)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:VOLODYMYR
Last Name:PYTIAK
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:4900 S MONACO ST STE 210
Mailing Address - Street 2:MC5062
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80237-3487
Mailing Address - Country:US
Mailing Address - Phone:303-861-2663
Mailing Address - Fax:303-861-4741
Practice Address - Street 1:2055 N HIGH ST STE 130
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80205-5504
Practice Address - Country:US
Practice Address - Phone:303-861-2663
Practice Address - Fax:303-861-4741
Is Sole Proprietor?:No
Enumeration Date:2009-07-23
Last Update Date:2022-01-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA130217207X00000X
CO55621207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO67789757Medicare PIN