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Individual

JOSHUA BRIAN ELLIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
200 TANNER ST, HURRICANE, WV 25526-1524
(304) 415-7297
Mailing address
501 MORRIS STREET, PO BOX 1547, CHARLESTON, WV 25326-1547
(304) 388-6004
(304) 388-3360

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2414
WV

Other

Enumeration date
07/02/2019
Last updated
07/14/2021
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