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GARY CRUZ BERNABE MD

Diagnostic Radiology >> Radiology >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1083174338

Individual Registrant:
 GARY CRUZ BERNABE MD
Gender: M
Not Sole Proprietor

Location and contact information for practice:
96799 TURNER DRIVE  PAGO PAGO, AS 96799-9994 US
Tel: 684-633-1222  Fax: 684-633-4102

Contact information for business:
PO BOX LBJ  PAGO PAGO, AS 96799-0010 US
Tel: 684-633-1222  Fax: 684-633-4102

Registration Information:
NPI: 1083174338
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y2085R0202XAllopathic & Osteopathic Physicians
Radiology
Diagnostic Radiology
AS4115-C

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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