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Individual

JOSHUA E MOTL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
20172 E STAGECOACH TRL, CORDES LAKES, AZ 86333
(928) 632-4399
Mailing address
14534 W HIDDEN TERRACE LOOP, LITCHFIELD PARK, AZ 85340-0989
(218) 371-9340

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5678
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
912701
AZ
Enumeration date
03/21/2014
Last updated
08/14/2018
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