MR. Philip John Dauernheim, PHYSICIAN ASSISTANT

NPI #1003892852 in Norfolk, Virginia

Provider Information

NPI Number: 1003892852
Entity Type: Individual
Name: MR. Philip John Dauernheim, PHYSICIAN ASSISTANT
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Physician Assistant
Credential: PHYSICIAN ASSISTANT
Enumeration Date: Dec 22, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 1721 TAUSSIG BLVD.
City: Norfolk
State: Virginia
ZIP Code: 23511
Phone: (757) 314-6401

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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