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Organization

PACIFIC HAND SURGERY CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. CAROLYN MAFNAS (BILLING SUPERVISOR)
(671) 646-3855
Entity
Organization

Contact information

Practice address
633 GOV CARLOS G CAMACHO RD STE 212, TAMUNING, GU 96913-3195
(671) 646-4263
Mailing address
633 GOV CARLOS G CAMACHO RD STE 212, TAMUNING, GU 96913-3195
(671) 646-4263
(671) 649-2266

Taxonomy

Speciality
Code
Description
License number
State
2086S0105X
Surgery of the Hand (Surgery) Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
170804300
US DOL
05
J6266501
TX
Enumeration date
11/14/2018
Last updated
11/14/2018
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