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NPI Code Detail

MEDICARE: JOSHUA HARRIS PA

MEDICARE: JOSHUA HARRIS PA
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
1363AM0700XMedical Physician Assistant

General Provider Information

NPI Number : 1083087597
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSHUA HARRIS PA
Provider Business Mailing Address
First Line : 3000 WATERCOVE RD
Second Line :
City : MIDLOTHIAN
State : VA
Zip : 23112-3982
Country : US
Telephone Number : 804-744-0200
Fax Number : 804-744-8417
Provider Business Practice Location Address
First Line : 25 S UNION ST
Second Line :
City : PETERSBURG
State : VA
Zip : 23803-4221
Country : US
Telephone Number : 804-957-9601
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/05/2015
Last Update Date : 03/20/2026

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Directions to “ JOSHUA HARRIS PA” Practice Location

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