Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JOSHUA PHILLIP BLACK, PA-C
Active Sole ProprietorMedical Physician Assistant · IDAHO FALLS, ID
Registration Details
- NPI Number
- 1922714104
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 30, 2023 (3.2248442555099 yrs)
- Last Updated
- Jan 30, 2023
- Licenses
-
PA-2447 (ID)PA-2447 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
740 S WOODRUFF AVEIDAHO FALLS, ID, 834015285Browse ID providers · Browse ZIP 83401
- Phone
- 2085429111
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
- Additional Specialty
- Medical Physician Assistant
Other Medical Physician Assistant Providers in IDAHO FALLS, ID
| Name | Credential | NPI |
|---|---|---|
| MS. JAMIE L CARTER | PAC | 1851396519 |
| BRIAN DAVID MILLER | PA-C BS | 1861483455 |
| WADE K CHRISTENSEN | P.A. | 1386626463 |
| JAMES TYLER CHRISTENSEN | PA | 1578540498 |
| MS. STEPHANIE MORGAN | PA | 1316910797 |
| LAURA A TABOR | P.A. | 1538121322 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.