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Individual

MR. JOSHUA MARK DILTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-S

Contact information

Practice address
291 S DAISY ST, MORRISTOWN, TN 37813-2362
(423) 616-8315
(423) 616-8316
Mailing address
3301 CLEARVIEW ST, KNOXVILLE, TN 37917-2706
(505) 610-5925

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4653
TN

Other

Enumeration date
04/06/2020
Last updated
09/02/2021
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