Individual
JOSHUA MAKELA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1515 E CEDAR AVE, FLAGSTAFF, AZ 86004-1600
(928) 774-2788
Mailing address
8205 KOCH FIELD RD, FLAGSTAFF, AZ 86004-1253
(612) 703-8157
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/08/2009
Last updated
08/08/2013
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