Individual
PHILIP JASON CLAPHAM
Active
Individual
PHILIP JASON CLAPHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01084363A
IN
207RI0200X
Infectious Disease Physician
Primary
01084363A
IN
390200000X
Student in an Organized Health Care Education/Training Program
11017937A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001422934
ANTHEM PTAN
IN
05
—
300042320
—
IN
Enumeration date
06/20/2014
Last updated
03/06/2025
Update your record
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