Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 2011001485 | MO |
NPI | 1144411760 |
---|---|
Provider Name | Dr. Joshua D North |
First Address | Amarillo, TX 79106-1836 |
Second Address | Amarillo, TX 79106-1836 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/08/2007 |
Last Update Date | 21/01/2013 |