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Mr. Daniel Austin Richardson
Military Health Care Provider in Joint Base Pearl Harbor-Hickam, Hawaii
NPI 1023746195

Daniel Austin Richardson is a Military Health Care Provider based in Honolulu, HI. Daniel Austin Richardson practices in Joint Base Pearl Harbor-Hickam, HI. The NPI Number for Daniel Austin Richardson is 1023746195 and holds a License No. (Hawaii).

The current practice location address for Daniel Austin Richardson is 45 Gardner Drive, Joint Base Pearl Harbor-Hickam, HI and can be reached out via phone at 808-204-3542.

Location: 45 Gardner Drive, Joint Base Pearl Harbor-Hickam, HI, 96818-4151
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023746195
Provider Name
Daniel Austin Richardson
Credential
Provider Entity Type
Individual
Gender
Male
Address
45 Gardner Drive, Joint Base Pearl Harbor-Hickam, HI, 96818-4151
Phone Number
808-204-3542
Fax Number
Provider Enumeration Date
08/08/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
45 Gardner Drive
City
Joint Base Pearl Harbor-Hickam
State
Hawaii
Zip
96853
Phone Number
808-204-3542
Fax Number
person
Provider Business Mailing Address Details
Address
45 Gardner Drive
City
Joint Base Pearl Harbor-Hickam
State
Hawaii
Zip
96853
Phone Number
808-204-3542
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
171000000X
License No.
()
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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