NPI 1003892852

Philip John Dauernheim, PHYSICIANASSISTANT

Practitioner Physician Assistant Norfolk, VA

Practice location

Address: 1721 Taussig Blvd., Norfolk, VA 23511
Phone: (757) 314-6401
Mailing address: 2415 Annie Cir, Chesapeake, VA 23323-3953

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X

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Registry record

NPI: 1003892852
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Dec 2005
Record last updated: 13 Jul 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.