Individual
DANIELLE M LOUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4727 FRIENDSHIP AVE STE 340, PITTSBURGH, PA 15224-1778
(412) 235-5830
(412) 235-5833
Mailing address
4727 FRIENDSHIP AVE STE 340, PITTSBURGH, PA 15224-1778
(412) 235-5830
(412) 235-5833
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA053885
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103191132
—
PA
01
—
11949967
CAQH
—
Enumeration date
10/01/2007
Last updated
10/08/2020
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