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Individual

JOSHUA T CAROTHERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
201 CEDAR ST SE, SUITE 6600, ALBUQUERQUE, NM 87106-4917
(505) 724-4300
(505) 724-4384
Mailing address
201 CEDAR ST SE, SUITE 6600, ALBUQUERQUE, NM 87106-4917
(505) 724-4300
(505) 724-4384

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
MD2008-0206
NM
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
MD2008-0206
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
66803764
NM
Enumeration date
04/18/2008
Last updated
07/11/2013
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