PACIFIC HAND SURGERY CENTER NPI 1639648058

NPI Information

  • NPI: 1639648058
  • Provider Name: PACIFIC HAND SURGERY CENTER
  • Classification: Surgery - 2086S0105X
  • Specialization: Surgery of the Hand
  • Entity Type: Organization
  • Address: 633 GOV CARLOS G CAMACHO RD STE 212
    TAMUNING, GU
    ZIP 96913
  • Phone: (671) 646-4263

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NPI Details

PACIFIC HAND SURGERY CENTER is a surgery of the hand surgery in Tamuning, GU. The provider is a surgeon with expertise in the investigation, preservation and restoration by medical, surgical and rehabilitative means, of all structures of the upper extremity directly affecting the form and function of the hand and wrist. PACIFIC HAND SURGERY CENTER NPI is 1639648058. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

633 GOV CARLOS G CAMACHO RD STE 212
TAMUNING, GU
ZIP 96913-195
Phone: (671) 646-4263

The provider's authorized official is Carolyn Mafnas .
The authorized official title is Billing Supervisor and has the following contact phone number (671) 646-3855.

The enumeration date for this NPI number is 11/14/2018 and was last updated on 11/14/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12086S0105XSurgerySurgery of the HandYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1170804300OTHERUS DOL
2J6266501MEDICAIDTEXAS

What is NPI?

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This page was last updated on: 11/21/2025

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