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Individual
MR. JOSHUA TED BORGSTADT
Active
Individual
MR. JOSHUA TED BORGSTADT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
60461
CA
363AM0700X
Medical Physician Assistant
2007002728
MO
363AM0700X
Medical Physician Assistant
3273
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
COAAA3711
PTAN
CO
Enumeration date
02/08/2007
Last updated
03/17/2025
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