Provider Demographics
NPI:1093460669
Name:HADLEY, JOSHUA MICHEAL (PHYSICIAN ASSISTANT)
Entity Type:Individual
Prefix:MR
First Name:JOSHUA
Middle Name:MICHEAL
Last Name:HADLEY
Suffix:
Gender:M
Credentials:PHYSICIAN ASSISTANT
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Mailing Address - Street 1:34 COREY LN
Mailing Address - Street 2:
Mailing Address - City:NORTH CLARENDON
Mailing Address - State:VT
Mailing Address - Zip Code:05759-9675
Mailing Address - Country:US
Mailing Address - Phone:802-353-6727
Mailing Address - Fax:
Practice Address - Street 1:4301 WILSON ST
Practice Address - Street 2:
Practice Address - City:FORT SILL
Practice Address - State:OK
Practice Address - Zip Code:73503-4472
Practice Address - Country:US
Practice Address - Phone:833-286-3732
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-13
Last Update Date:2022-02-13
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant