Healthcare Provider Details

I. General information

NPI: 1518324193
Provider Name (Legal Business Name): JOSHUA RYAN HARRINGTON DO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/27/2016
Last Update Date: 08/23/2023
Certification Date: 08/23/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

238-0001
YOKOSUKA KANAGAWA PREFECTURE
2370061
JP

IV. Provider business mailing address

PSC 475 BOX 1
FPO AP
96350-1200
US

V. Phone/Fax

Practice location:
  • Phone: 816-714-4146
  • Fax:
Mailing address:
  • Phone: 46-816-5505
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number0102205013
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: