Organization
PACIFIC RADIOLOGY INC A PROFESSIONAL CORPORATION
Active
Organization
PACIFIC RADIOLOGY INC A PROFESSIONAL CORPORATION
Active
Other names
Pacific Radiology Inc
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VINCENT V. LIZAMA M.D. (PRESIDENT)
(671) 777-5259
Entity
Organization
Contact information
Practice address
388 YPAO RD, SDA RADIOLOGY DEPARTMENT, TAMUNING, GU 96913-3701
(671) 646-8881
Mailing address
121 TAKANO LN STE 302, TAMUNING, GU 96913-4148
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
05/03/2007
Last updated
08/23/2018
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