Individual
MR. PHILIP JOHN DAUERNHEIM
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
1721 TAUSSIG BLVD., NORFOLK, VA 23511
(757) 314-6401
Mailing address
2415 ANNIE CIR, CHESAPEAKE, VA 23323-3953
(757) 485-7553
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
12/22/2005
Last updated
07/08/2007
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