Individual
GARY CRUZ BERNABE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
96799 TURNER DRIVE, PAGO PAGO, AS 96799-9994
(684) 633-1222
(684) 633-4102
Mailing address
PO BOX LBJ, PAGO PAGO, AS 96799-0010
(684) 633-1222
(684) 633-4102
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
4115-C
AS
Other
Enumeration date
03/22/2019
Last updated
03/22/2019
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