MR. Joshua James Wageman, PA-C, DPT, CSCS

NPI #1770925257 in Eagle, Idaho

Provider Information

NPI Number: 1770925257
Entity Type: Individual
Name: MR. Joshua James Wageman, PA-C, DPT, CSCS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C, DPT, CSCS
Enumeration Date: Jul 24, 2013
Last Updated: Mar 9, 2021

Practice Location

Address: 951 E PLAZA DR STE 110
City: Eagle
State: Idaho
ZIP Code: 83616-6567
Phone: (208) 274-9580

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X
Physician Assistant	363A00000X	Primary

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