Organization
OFFICE OF LEOPOLDO ARCILLA , JR.,MD.,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEOPOLDO CLAVA ARCILLA JR. MD (PRESIDENT/PHYSICIAN)
(671) 483-6766
Entity
Organization
Contact information
Practice address
1757 ARMY DR STE 108, TAMUNING, GU 96913-1260
(671) 647-4533
(671) 647-1110
Mailing address
1757 ARMY DR STE 108, TAMUNING, GU 96913-1260
(671) 647-4533
(671) 647-1110
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
M-1565
GU
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1021
—
GU
Enumeration date
04/27/2015
Last updated
04/27/2015
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