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Organization
THE DOCTORS CLINIC
Active
Organization
THE DOCTORS CLINIC
Active
Other names
Family Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BENNY M PAULINO (CHIEF OPERATING OFFICER)
(671) 647-5212
Entity
Organization
Contact information
Practice address
851 GOVERNOR CARLOS CAMACHO ROAD, TAMUNING, GU 96913-3153
(671) 648-2711
(671) 646-3639
Mailing address
PO BOX 11409, TAMUNING, GU 96931-1409
(671) 647-5212
(671) 647-5279
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
208600000X
Surgery Physician
—
NULL
208600000X
Surgery Physician
—
—
213E00000X
Podiatrist
—
NULL
213E00000X
Podiatrist
—
—
Other
Enumeration date
01/16/2007
Last updated
11/29/2007
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