Healthcare Provider Details

I. General information

NPI: 1801195276
Provider Name (Legal Business Name): JONATHAN DENNIS SLOTHOWER DO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/24/2011
Last Update Date: 08/27/2025
Certification Date: 08/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1780 BROWNING WAY
ELKO NV
89801-8357
US

IV. Provider business mailing address

1780 BROWNING WAY
ELKO NV
89801-8357
US

V. Phone/Fax

Practice location:
  • Phone: 775-778-3437
  • Fax: 775-778-3652
Mailing address:
  • Phone: 775-778-3652
  • Fax: 775-778-3652

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number269013
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberDO1906
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: