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Organization

ISLAND SURGICAL CENTER, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RICARDO B EUSEBIO M.D. (SOLE DIRECTOR)
(671) 646-0443
Entity
Organization

Contact information

Practice address
171 FARENHOLT AVE, TAMUNING, GU 96913-3207
(671) 646-0443
(671) 646-0440
Mailing address
171 FARENHOLT AVE, TAMUNING, GU 96913-3207

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary

Other

Enumeration date
06/15/2017
Last updated
06/15/2017
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