Organization
ISLAND MEDICAL SPECIALISTS PC
Active
Organization
ISLAND MEDICAL SPECIALISTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAN BOLLINGER (PRESIDENT/CEO)
(671) 646-3855
Entity
Organization
Contact information
Practice address
633 GOV CARLOS G CAMACHO RD, GUAM PLAZA STE 212, TAMUNING, GU 96913-3194
(671) 646-3855
Mailing address
PO BOX 9220, TAMUNING, GU 96931-5220
(671) 646-3855
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
07/14/2010
Last updated
08/18/2010
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