Individual
JORDAN TETLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4800 FRIENDSHIP AVE, PERI-OPERATIVE SERVICES 4TH FLOOR, PITTSBURGH, PA 15224-1722
(412) 260-4835
Mailing address
220 HAZEL DR, PITTSBURGH, PA 15228-2150
(412) 260-4835
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA002227L
PA
Other
Enumeration date
03/23/2011
Last updated
01/20/2017
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