Individual
JOSHUA ROESSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4460 S HIGHLAND DR, SALT LAKE CITY, UT 84124-3543
(801) 273-6300
Mailing address
4460 S HIGHLAND DR, SALT LAKE CITY, UT 84124-3543
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
363A00000X
Physician Assistant
Primary
12573354-1206
UT
363A00000X
Physician Assistant
—
—
Other
Enumeration date
01/08/2019
Last updated
01/18/2022
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