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Individual
JOSHUA RYAN CRASE
Active
Individual
JOSHUA RYAN CRASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
10002803A
IN
363A00000X
Physician Assistant
Primary
10002803A
IN
363AM0700X
Medical Physician Assistant
10002803A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10002803A
CSR
IN
Enumeration date
09/19/2019
Last updated
03/07/2023
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