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Individual

JODY L MIDDLETON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PAC

Contact information

Practice address
5900 CORPORATE DRIVE, SUITE 200, PITTSBURGH, PA 15237
(412) 369-4000
(412) 369-7667
Mailing address
5900 CORPORATE DRIVE, SUITE 200, PITTSBURGH, PA 15237
(412) 369-4000
(412) 369-7667

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA051697
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1161847
AETNA
PA
01
253313
HEALTHAMERICA/HEALTHASSUR
PA
01
50048233
50048233
PA
Enumeration date
03/25/2006
Last updated
05/13/2009
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