Individual
JOSHUA STORM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
201 WADSWORTH DR, NORTH CHESTERFIELD, VA 23236
(804) 285-8206
Mailing address
201 WADSWORTH DR, NORTH CHESTERFIELD, VA 23236-4510
(804) 285-8206
(804) 320-3102
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110-005300
VA
363A00000X
Physician Assistant
01110005300
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
VVK972C
MEDICARE
VA
Enumeration date
04/04/2016
Last updated
04/29/2019
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