Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 0101252938 | VA |
Y | 2080N0001X | Neonatal-Perinatal Doctor | 0101252938 | VA |
NPI | 1033418397 |
---|---|
Provider Name | Dr. Joshua Clive Anchan |
First Address | Fpo, AP 96362-0026 |
Second Address | Apo, AP 96368-5142 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/03/2011 |
Last Update Date | 17/07/2020 |