Individual
PHILIP DANIEL CANAFAX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2480 LLEWELLYN AVE, FORT GEORGE G MEADE, MD 20755-7081
(301) 677-8800
Mailing address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/21/2022
Last updated
03/24/2025
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