# THE DOCTORS CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Family Medical Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467503433
- **Authorized official:** MR. BENNY M PAULINO (CHIEF OPERATING OFFICER)
- **Authorized official phone:** (671) 647-5212

## Contact information

- **Practice address:** 851 GOVERNOR CARLOS CAMACHO ROAD, TAMUNING, GU 96913-3153
- **Practice address phone:** (671) 648-2711
- **Practice address fax:** (671) 646-3639
- **Mailing address:** PO BOX 11409, TAMUNING, GU 96931-1409
- **Mailing address phone:** (671) 647-5212
- **Mailing address fax:** (671) 647-5279

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 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