Individual
MR. JOSHUA MANATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
719 DETROIT AVE, DANVILLE, AR 72833-9607
(479) 495-2241
Mailing address
719 DETROIT AVE, DANVILLE, AR 72833-9607
(479) 495-2241
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
03/06/2017
Last updated
03/06/2017
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