Individual provider · Type 1 NPI
Joshua Wicks, PA
Surgical Physician Assistant · Walla Walla, WA
NPI number
1184003295
Active
Practice location
380 Chase Ave
Walla Walla, WA 99362-2924
Mailing address
PO Box 32
Liberty Lake, WA 99019-0032
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant | 363AM0700X | None listed |
| Surgical Physician Assistant Primary | 363AS0400X | None listed |
Surgical Physician Assistant: Definition to come...
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About NPI 1184003295
Joshua Wicks, PA's National Provider Identifier is 1184003295, issued on May 21, 2015. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Walla Walla, WA. The record was last updated on May 21, 2015.