Individual
JOSHUA NEIL WADLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
OFF HIGHWAY 191, HOSPITAL ROAD, CHINLE, AZ 86503-2735
(928) 674-7001
Mailing address
PO BOX PH, CHINLE, AZ 86503-8000
(928) 674-7001
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0081178
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110967700
—
MD
Enumeration date
04/26/2013
Last updated
07/19/2019
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