Individual
MR. JOSHUA K ENEVOLDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
431 N 21ST ST, CAMP HILL, PA 17011
(717) 763-3730
(717) 763-3734
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
5149
AZ
363A00000X
Physician Assistant
Primary
MA060552
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
707901
—
AZ
Enumeration date
06/08/2012
Last updated
08/28/2020
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