Individual
DR. KYLE JORDAN COTHRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
320 E NORTH AVE, LEVEL 01, PITTSBURGH, PA 15212-4756
(412) 718-5458
Mailing address
320 E NORTH AVE, PITTSBURGH, PA 15212-4756
(412) 359-8743
(412) 359-8233
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
MD458450
PA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
MD458450
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103124336
—
PA
Enumeration date
04/09/2010
Last updated
10/01/2020
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