Provider Demographics
NPI:1033449988
Name:MARQUIS, JOSHUA RICHARD (PA-C)
Entity Type:Individual
Prefix:MR
First Name:JOSHUA
Middle Name:RICHARD
Last Name:MARQUIS
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9220 N CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85020-2416
Mailing Address - Country:US
Mailing Address - Phone:602-254-7077
Mailing Address - Fax:
Practice Address - Street 1:9100 N CENTRAL AVE STE A
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85020-2430
Practice Address - Country:US
Practice Address - Phone:602-254-7077
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-12-28
Last Update Date:2012-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical