Provider Demographics
NPI:1801195276
Name:SLOTHOWER, JONATHAN DENNIS (DO)
Entity Type:Individual
Prefix:
First Name:JONATHAN
Middle Name:DENNIS
Last Name:SLOTHOWER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1816 PINION RD
Mailing Address - Street 2:
Mailing Address - City:ELKO
Mailing Address - State:NV
Mailing Address - Zip Code:89801
Mailing Address - Country:US
Mailing Address - Phone:775-778-3437
Mailing Address - Fax:775-738-7641
Practice Address - Street 1:1816 PINION RD
Practice Address - Street 2:
Practice Address - City:ELKO
Practice Address - State:NV
Practice Address - Zip Code:89801
Practice Address - Country:US
Practice Address - Phone:775-778-3437
Practice Address - Fax:775-738-7641
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-24
Last Update Date:2017-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVDO1906208000000X
NY269013208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics