NPI 1386822823

Medical Professionals, PC

Organisation Specialist Tamuning, GU

Practice location

Address: 633 Governor Carlos Camacho Rd. Suite 203, Tamuning, GU 96913
Phone: (671) 646-3835
Fax: (671) 646-3834

Authorised official

Name: William Fell
Title: Owner
Phone: (671) 646-3835

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 13200702154001 (GU)

Other Specialist providers in Guam →

Registry record

NPI: 1386822823
Entity type: Organization
NPI issued: 7 Feb 2008
Record last updated: 7 Feb 2008

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.