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NPI Code Detail

MEDICARE: DR. JOSHUA ALAN EMDUR DO

MEDICARE: DR. JOSHUA ALAN EMDUR DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianDR.0046419CO

General Provider Information

NPI Number : 1649218389
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOSHUA ALAN EMDUR DO
Provider Business Mailing Address
First Line : 30 MARYLAND PLZ FL 3
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63108-1556
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 30 MARYLAND PLZ FL 3
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63108-1556
Country : US
Telephone Number : 800-449-4280
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2006
Last Update Date : 05/28/2026

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