Individual
MR. JOSHUA KOTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
2199 N MERRIT CRK LOOP, COEUR D ALENE, ID 83814-4949
(619) 947-0228
Mailing address
1070 WALLEN RD, MOSCOW, ID 83843-8458
(619) 947-0228
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/14/2022
Last updated
03/04/2024
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