Individual
MR. JONATHAN EUGENE BIRCHOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
201 WOOD ST, PITTSBURGH, PA 15222-1912
(412) 392-3816
Mailing address
30 MEADOWCREST DR, CECIL, PA 15321-1155
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT004203
PA
Other
Enumeration date
03/14/2008
Last updated
03/14/2008
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