JOSHUA LOGAN MCDANIEL

FORT CAMPBELL, KY
NPI1528698404
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2020-01-20
Last Update Date2020-01-20
Business Address
JOSHUA LOGAN MCDANIEL
650 JOEL DR
FORT CAMPBELL, KY 42223-5318
Phone number: 561-236-3237
Mailing Address
JOSHUA LOGAN MCDANIEL
3611 FOX TAIL DR
CLARKSVILLE, TN 37040-6247
Phone number: 561-236-3237