Individual
JOSHUA EDWARD ZETOCHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3000 32ND AVE S, FARGO, ND 58103-6132
(701) 364-8000
Mailing address
5702 DEB DR W, WEST FARGO, ND 58078-4074
(701) 793-4996
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PAC1005
ND
Other
Enumeration date
06/02/2023
Last updated
06/02/2023
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