Healthcare Provider Details

I. General information

NPI: 1023746195
Provider Name (Legal Business Name): MR. DANIEL AUSTIN RICHARDSON
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/08/2022
Last Update Date: 08/08/2022
Certification Date: 08/01/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

45 GARDNER DRIVE
JOINT BASE PEARL HARBOR-HICKAM HI
96853
US

IV. Provider business mailing address

4464 KOBASHIGAWA ST
HONOLULU HI
96818-4151
US

V. Phone/Fax

Practice location:
  • Phone: 808-204-3542
  • Fax:
Mailing address:
  • Phone: 786-266-0907
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171000000X
TaxonomyMilitary Health Care Provider
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: