Individual
DR. JOHN G PHOCAS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
17579 WARWICK BLVD, NEWPORT NEWS, VA 23603-1343
(757) 888-0400
Mailing address
17579 WARWICK BLVD, NEWPORT NEWS, VA 23603-1343
(757) 888-0400
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101235090
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
081094M
SENTARA OPTIMA
—
05
—
10010241
—
VA
01
—
1P283758
MAGELLAN
—
01
—
266844
ANTHEM PPO
—
01
—
327269
MHN
VA
01
—
327269
MANAGED HEALTH NETWORK
—
01
—
381660
MAMSI
VA
01
—
C01884
MCARE GROUP
—
01
—
P00089632
MCARE RAILROAD
—
Enumeration date
02/08/2006
Last updated
07/21/2022
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