Provider Demographics
NPI:1902176480
Name:SPUHLER, JOSHUA LUPINE (PA-C)
Entity Type:Individual
Prefix:MR
First Name:JOSHUA
Middle Name:LUPINE
Last Name:SPUHLER
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:536 S COTTONWOOD RD STE 100
Mailing Address - Street 2:
Mailing Address - City:BOZEMAN
Mailing Address - State:MT
Mailing Address - Zip Code:59718-9529
Mailing Address - Country:US
Mailing Address - Phone:406-586-8029
Mailing Address - Fax:406-586-8009
Practice Address - Street 1:536 S COTTONWOOD RD STE 100
Practice Address - Street 2:
Practice Address - City:BOZEMAN
Practice Address - State:MT
Practice Address - Zip Code:59718-9529
Practice Address - Country:US
Practice Address - Phone:406-586-8029
Practice Address - Fax:406-586-8009
Is Sole Proprietor?:No
Enumeration Date:2011-12-30
Last Update Date:2020-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPA60344927363A00000X
MT666363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant