Individual
DR. HORMAZDIAR DARA DASTOOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
23 NAVY HILL RAD, SAIPAN, MP 96950-0409
(670) 323-0188
Mailing address
PO BOX 500409, SAIPAN, MP 96950-0409
(670) 323-0188
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
00394
MP
Other
Enumeration date
07/20/2006
Last updated
07/08/2007
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