JOSHUA RYAN DETRICK

ALEXANDRIA, VA
NPI1366603797
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: VA  0110003713)
Additional Taxonomies363A00000X Physician Assistant
(Licence: NC  0010-01389)
Enumeration Date2008-06-18
Last Update Date2015-07-06
Business Address
Mr. JOSHUA RYAN DETRICK PA-C
6355 WALKER LANE STE 202
ALEXANDRIA, VA 22310-3257
Phone number: 703-810-5210
Mailing Address
Mr. JOSHUA RYAN DETRICK PA-C
PO BOX 75420
BALTIMORE, MD 21275-5420
Phone number: 703-383-6469