Provider Demographics
NPI:1457677015
Name:PITKANEN, RON BENTON (MD)
Entity Type:Individual
Prefix:DR
First Name:RON
Middle Name:BENTON
Last Name:PITKANEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2700 HIGHWAY 280 S STE 212
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN BRK
Mailing Address - State:AL
Mailing Address - Zip Code:35223-2468
Mailing Address - Country:US
Mailing Address - Phone:205-878-4368
Mailing Address - Fax:855-809-8099
Practice Address - Street 1:2700 HIGHWAY 280 S STE 212
Practice Address - Street 2:
Practice Address - City:MOUNTAIN BRK
Practice Address - State:AL
Practice Address - Zip Code:35223-2468
Practice Address - Country:US
Practice Address - Phone:205-878-4368
Practice Address - Fax:205-878-4367
Is Sole Proprietor?:No
Enumeration Date:2010-04-07
Last Update Date:2023-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL34323207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine