Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | POD-000908 | AZ |
Y | 222Z00000X | Podiatrist | POD-000908 | AZ |
N | 213EP1101X | Primary Podiatric Medicine | POD-000908 | AZ |
N | 111NR0200X | Radiology | POD-000908 | AZ |
N | 213ER0200X | Radiology | POD-000908 | AZ |
N | 2081S0010X | Sports Medicine | POD-000908 | AZ |
N | 213ES0000X | Sports Medicine | POD-000908 | AZ |
N | 213ES0131X | Foot Surgery | POD-000908 | AZ |
NPI | 1003392457 |
---|---|
Provider Name | Joshua Thomas Cady |
First Address | Pocatello, ID 83201-3427 |
Second Address | Flagstaff, AZ 86004-3708 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2018 |
Last Update Date | 18/07/2018 |