Individual
JOSHUA R PAULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2900 DOOLITTLE DR, ELLSWORTH AFB, SD 57706-4821
(605) 385-6700
Mailing address
353 FAIRMONT BLVD, ATTEN MEDICAL STAFF SERVICES, RAPID CITY, SD 57701-6000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0723
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0723
LICENSE
SD
Enumeration date
09/17/2009
Last updated
06/25/2021
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