# PACIFIC HAND SURGERY CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639648058
- **Authorized official:** MRS. CAROLYN MAFNAS (BILLING SUPERVISOR)
- **Authorized official phone:** (671) 646-3855

## Contact information

- **Practice address:** 633 GOV CARLOS G CAMACHO RD STE 212, TAMUNING, GU 96913-3195
- **Practice address phone:** (671) 646-4263
- **Mailing address:** 633 GOV CARLOS G CAMACHO RD STE 212, TAMUNING, GU 96913-3195
- **Mailing address phone:** (671) 646-4263
- **Mailing address fax:** (671) 649-2266

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0105X | Surgery of the Hand (Surgery) Physician | — | NULL | Yes |
| 2086S0105X | Surgery of the Hand (Surgery) Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/14/2018
- **Last updated:** 11/14/2018