Individual
PROF. JEFFREY A BLACKHURST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
200 LOTHROP ST, PITTSBURGH, PA 15213-2546
(412) 647-5909
Mailing address
91 ROSS RD, CANONSBURG, PA 15317-4849
(724) 873-8131
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN284743L
PA
Other
Enumeration date
02/06/2006
Last updated
03/04/2008
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