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Individual

MR. JOSHUA PARDO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT

Contact information

Practice address
BLDG 5-4257 BASTOGNE DR, FORT LIBERTY, NC 28310-5641
(910) 908-5835
Mailing address
1061 HARMON AVE, STE 1D03, FORT STEWART, GA 31314-5641
(912) 435-5965

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
363AM0700X
Medical Physician Assistant
Primary
258563
NC

Other

Enumeration date
10/08/2015
Last updated
10/01/2024
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