Individual
MR. CLARENCE DAVID PHAUP JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3636 HIGH ST, PORTSMOUTH, VA 23707-3236
(757) 398-2348
Mailing address
3636 HIGH ST, PORTSMOUTH, VA 23707-3236
(757) 398-2348
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
0136000188
VA
Other
Enumeration date
08/13/2026
Last updated
08/13/2026
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