Provider Demographics
NPI:1518253582
Name:PITIFER, ANTHONY (ATP)
Entity Type:Individual
Prefix:
First Name:ANTHONY
Middle Name:
Last Name:PITIFER
Suffix:
Gender:M
Credentials:ATP
Other - Prefix:
Other - First Name:TONY
Other - Middle Name:
Other - Last Name:PITIFER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:ATP
Mailing Address - Street 1:7405 82ND ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79424-4935
Mailing Address - Country:US
Mailing Address - Phone:806-771-4976
Mailing Address - Fax:806-771-2433
Practice Address - Street 1:7405 82ND ST
Practice Address - Street 2:SUITE A
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79424-4935
Practice Address - Country:US
Practice Address - Phone:806-771-4976
Practice Address - Fax:806-771-2433
Is Sole Proprietor?:No
Enumeration Date:2011-06-28
Last Update Date:2011-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other