Individual
JOSHUA RYAN KOVALCIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
311 W 24TH ST STE 101, ERIE, PA 16502-2668
(814) 452-4214
Mailing address
4801 MEADOWVIEW DR APT 114, ERIE, PA 16509-8519
(814) 823-1528
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA064477
PA
Other
Enumeration date
05/15/2023
Last updated
05/15/2023
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