Provider Demographics
NPI:1598257156
Name:SPIRNAK, JOSHUA RYAN (MD)
Entity type:Individual
Prefix:
First Name:JOSHUA
Middle Name:RYAN
Last Name:SPIRNAK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:RHINE ORDNANCE BARRACKS BLDG 300 AM
Mailing Address - Street 2:OPELKREISEL, RHINE ORD BRKS
Mailing Address - City:APO
Mailing Address - State:AE
Mailing Address - Zip Code:09067
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:9040 JACKSON AVE
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98431-0001
Practice Address - Country:US
Practice Address - Phone:253-968-5604
Practice Address - Fax:253-968-3140
Is Sole Proprietor?:No
Enumeration Date:2018-05-30
Last Update Date:2025-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.1532582085R0202X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology