Individual
MR. JONATHAN R. CAROTHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
9104 BABCOCK BLVD, SUITE 2120, PITTSBURGH, PA 15237-5818
(412) 367-0600
(412) 367-7079
Mailing address
9104 BABCOCK BLVD, SUITE 2120, PITTSBURGH, PA 15237-5818
(412) 367-0600
(412) 367-7079
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
MA050770
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1443031
HIGHMARK BLUE CROSS B.S.
PA
Enumeration date
03/22/2006
Last updated
05/24/2012
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