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Organization

BLUE OCEAN MEDICAL GROUP LLC

Active
Other names
IHP Medical Group
Organization subpart
No

Provider details

NPI number
Authorized official
HIEU T CAMPUS M.D. (OWNER)
(671) 633-4447
Entity
Organization

Contact information

Practice address
655 HARMON LOOP RD STE 108, DEDEDO, GU 96929-6544
(671) 633-4447
Mailing address
655 HARMON LOOP RD STE 108, DEDEDO, GU 96929-6544
(671) 633-4447

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
07/01/2019
Last updated
07/01/2019
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