Provider Demographics
NPI:1053640177
Name:HARMON, TIMOTHY E (PA)
Entity Type:Individual
Prefix:
First Name:TIMOTHY
Middle Name:E
Last Name:HARMON
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:NAVY BRANCH HEALTH CLINIC IWAKUNI JAPAN
Mailing Address - Street 2:PSC 561 BOX 1877
Mailing Address - City:IWAKUNI
Mailing Address - State:JAPAN
Mailing Address - Zip Code:96310
Mailing Address - Country:JP
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:NAVY BRANCH HEALTH CLINIC IWAKUNI JAPAN
Practice Address - Street 2:PSC 561 BOX 1877
Practice Address - City:IWAKUNI
Practice Address - State:JAPAN
Practice Address - Zip Code:96310
Practice Address - Country:JP
Practice Address - Phone:810-243-3445
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-12-19
Last Update Date:2009-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical