Individual
JOSHUA K JETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2122 E HIGHLAND AVE STE 300, PHOENIX, AZ 85016-4744
(602) 553-3113
(602) 667-7991
Mailing address
2122 E HIGHLAND AVE STE 300, PHOENIX, AZ 85016-4744
(602) 553-3113
(602) 667-7991
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
003655
OH
363A00000X
Physician Assistant
Primary
6172
AZ
Other
Enumeration date
11/27/2012
Last updated
06/17/2021
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