Philip Daniel Canafax
Physician Assistant in Fort George G Meade, MD. Individual provider (NPI-1).
NPI number1225751514
StatusActive
Last updated in NPPESMar 24, 2025
Details
- NPI
- 1225751514
- Entity type
- Individual (NPI-1)
- Name
- Philip Daniel Canafax
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 21, 2022
- Certification date
- Mar 24, 2025
- Last updated
- Mar 24, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | – | Yes |
Practice location
2480 Llewellyn AveFort George G Meade, MD 20755-7081
Phone 301-677-8800
Mailing address
650 Joel DrFort Campbell, KY 42223-5318
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All 8 Physician Assistant providers in Fort George G Meade · All 188 providers in Fort George G Meade
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