Individual
DR. PEDRO ACFALLE MANIBUSAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTER, HI 96859-5001
(808) 433-5055
Mailing address
1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTER, HI 96859-5001
(808) 433-5055
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
DO198300
OR
207RG0100X
Gastroenterology Physician
Primary
DOS1269
HI
Other
Enumeration date
01/11/2008
Last updated
09/17/2021
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