Individual
JOSHUA DAVID CRIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
143 PLEASANT DR, WARREN, PA 16365-3371
(814) 726-3310
(814) 723-1338
Mailing address
2 W CRESCENT PARK, WARREN, PA 16365-2111
(814) 723-3300
(814) 723-8952
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
2875
CO
363A00000X
Physician Assistant
Primary
MA058967
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
80988580
—
CO
Enumeration date
09/24/2009
Last updated
07/03/2018
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