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Individual

JOSHUA HASTIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1513 N 6TH 1/2 ST, TERRE HAUTE, IN 47807-1039
(812) 238-7631
(812) 238-7003
Mailing address
1513 N 6TH 1/2 ST, TERRE HAUTE, IN 47807-1039
(812) 238-7631
(812) 238-7003

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036131920
IL
207Q00000X
Family Medicine Physician
Primary
11016240A
IN

Other

Enumeration date
06/16/2011
Last updated
10/11/2024
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