Provider Demographics
NPI:1407299076
Name:SHOWALTER, JOSH ANTHONY (MD)
Entity Type:Individual
Prefix:
First Name:JOSH
Middle Name:ANTHONY
Last Name:SHOWALTER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 52087
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70505-2087
Mailing Address - Country:US
Mailing Address - Phone:337-261-5151
Mailing Address - Fax:337-261-2697
Practice Address - Street 1:1214 COOLIDGE BLVD FL 3
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70503-2621
Practice Address - Country:US
Practice Address - Phone:337-289-7679
Practice Address - Fax:337-289-7680
Is Sole Proprietor?:No
Enumeration Date:2013-04-12
Last Update Date:2019-11-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LA312476207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology