Joshua Ryan Detrick in Alexandria - Physician Assistant

Joshua Ryan Detrick - NPI 1366603797

Joshua Ryan Detrick is a Physician Assistant in Alexandria, Virginia. Joshua Ryan Detrick practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Joshua Ryan Detrick is 1366603797. The last update date is 2015-07-06.

Joshua Ryan Detrick's current location address is 6355 Walker Lane, Alexandria, Virginia. You can contact this provider via phone number 7038105210 and fax number 7038105418. The mailing address for Joshua Ryan Detrick is 6355 Walker Lane, Alexandria, Virginia. To know further, please read the information below!

Provider Profile Detail

Provider Name Joshua Ryan Detrick
Address 6355 Walker Lane, Alexandria, Virginia
Phone Number 7038105210
Fax Number 7038105418
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1366603797
Provider Enumeration Date 2008-06-18
Last Updated Date 2015-07-06

Provider Mailing Address Detail

Address 6355 Walker Lane
City Alexandria
State Virginia (VA)
Post Code 223103257
Phone Number 7038105210
Fax Number 7038105418

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 0010-01389
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

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FAQs about Joshua Ryan Detrick

What is the Joshua Ryan Detrick's 1366603797?

The Joshua Ryan Detrick's NPI (National Provider Identifier) Number is 1366603797. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Joshua Ryan Detrick's facilities are situated?

The facilities of Joshua Ryan Detrick are physically located at the following address: 6355 Walker Lane, Alexandria, VA, 223103257.

What is Joshua Ryan Detrick's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Joshua Ryan Detrick is Physician Assistant, and the taxonomy classification code that categorizes this area of expertise is 363A00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1366603797 to Joshua Ryan Detrick?

The Centers for Medicare & Medicaid Services originally issued the 1366603797 to Joshua Ryan Detrick on 2008-06-18.

As of what date was the information pertaining to Joshua Ryan Detrick, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Joshua Ryan Detrick, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2015-07-06.

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