NPI 1104060839

Primary Multispecialty Clinic

Organisation Multi-Specialty Clinic/Center Tamuning, GU

Practice location

Address: 177 Chalan Pasaheru STE C, Tamuning, GU 96913-4161
Phone: (671) 647-6201
Fax: (671) 647-0045
Mailing address: 177 Chalan Pasaheru # a STE F, Tamuning, GU 96913-4161

Authorised official

Name: Therese T. Chong
Title: Patient Relations Coordinator
Phone: (671) 688-1066

Registered specialties

Multi-Specialty Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QM1300X Licence LEO 196 (GU)

Other Clinic/Center providers in Guam →

Registry record

NPI: 1104060839
Entity type: Organization
NPI issued: 24 Apr 2009
Record last updated: 24 Apr 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.