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Individual

MR. JOSHUA CHRISTIAN BARAJAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
520 MARY ST STE 520, EVANSVILLE, IN 47710-1682
(812) 424-8231
(812) 435-8794
Mailing address
520 MARY ST STE 520, EVANSVILLE, IN 47710-1682
(812) 424-8231
(812) 435-8794

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
363AM0700X
Medical Physician Assistant
Primary
10003673A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10003673A
IN STATE LICENSE
IN
01
1102624882
BCBS
IN
01
1198031
BOARD CERTIFICATION
IN
05
300065493
IN
05
7100832300
KY
Enumeration date
04/18/2022
Last updated
05/02/2024
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