Individual
DR. PHILIP A DAUTERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 LOWER NAVY HILL ROAD, SAIPAN, MP 96950
(670) 234-8950
(670) 236-8612
Mailing address
1 LOWER NAVY HILL ROAD, SAIPAN, MP 96950
(670) 234-8950
(670) 236-8612
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
M-1177
GU
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
M-1177
GU
Other
Enumeration date
04/21/2006
Last updated
09/07/2016
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